Healthcare Provider Details

I. General information

NPI: 1750297719
Provider Name (Legal Business Name): KAELEE ELIZABETH WALBRECHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 N LINCOLN AVE STE C
YORK NE
68467-2403
US

IV. Provider business mailing address

824 N LINCOLN AVE STE C
YORK NE
68467-2403
US

V. Phone/Fax

Practice location:
  • Phone: 402-366-5250
  • Fax:
Mailing address:
  • Phone: 402-366-5250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License NumberH13776536
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: