Healthcare Provider Details

I. General information

NPI: 1780140020
Provider Name (Legal Business Name): KAMI LOEFFELHOLZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2019
Last Update Date: 02/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 N CHERRY ST
PLEASANTON NE
68866-3119
US

IV. Provider business mailing address

303 WEST CHURCH STREET
PLEASANTON NE
68866-3119
US

V. Phone/Fax

Practice location:
  • Phone: 308-388-2041
  • Fax:
Mailing address:
  • Phone: 308-388-2041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number63601
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: