Healthcare Provider Details

I. General information

NPI: 1619702230
Provider Name (Legal Business Name): LISA ANN KUHL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2024
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

358 N 6TH ST
TECUMSEH NE
68450-2297
US

IV. Provider business mailing address

358 N 6TH ST
TECUMSEH NE
68450-2297
US

V. Phone/Fax

Practice location:
  • Phone: 402-335-3320
  • Fax: 402-335-3346
Mailing address:
  • Phone: 402-335-3320
  • Fax: 402-335-3346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number43974
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: