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NPI Code Detail

MEDICARE: KATHLEEN SPICER

MEDICARE:   KATHLEEN  SPICER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1372500000XChore Provider
2372600000XAdult Companion
33747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1063227445
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN SPICER
Provider Business Mailing Address
First Line : 1731 COUNTY ROAD 13
Second Line :
City : AMES
State : NE
Zip : 68621-2120
Country : US
Telephone Number : 402-639-2791
Fax Number :
Provider Business Practice Location Address
First Line : 1731 COUNTY ROAD 13
Second Line :
City : AMES
State : NE
Zip : 68621-2120
Country : US
Telephone Number : 402-639-2791
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2025
Last Update Date : 02/11/2025

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Directions to “ KATHLEEN SPICER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.