MEDICARE: KATHLEEN MARIE SIEMON NEBRASKA

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
1	372600000X	Adult Companion		NE

General Provider Information

NPI Number	:	1376405118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN MARIE SIEMON NEBRASKA

Provider Business Mailing Address
First Line	:	254 S KIMBALL ST
Second Line	:
City	:	GRAND ISLAND
State	:	NE
Zip	:	68801-7831
Country	:	US
Telephone Number	:	308-381-7690
Fax Number	:

Provider Business Practice Location Address
First Line	:	254 S KIMBALL ST
Second Line	:
City	:	GRAND ISLAND
State	:	NE
Zip	:	68801-7831
Country	:	US
Telephone Number	:	308-381-7690
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

Similar Medicare Providers

1790658094 — YOUSSEF IBRAHIM
Practice Location Address:

461 WINDHAM LOOP
STATEN ISLAND, NY
10314-7831

Practice Phone: 347-874-0739
Practice Fax:

1588506133 — JONATHAN THOMAS KUBICKA
Practice Location Address:

648 MEMORIAL DR
GRAND ISLAND, NE
68801-7856

Practice Phone: 402-519-8725
Practice Fax:

1285576413 — MRS. MONICA LYNN ZAMORA-ALMANZA
Practice Location Address:

1719 S LOCUST ST
GRAND ISLAND, NE
68801-8248

Practice Phone: 402-933-0680
Practice Fax:

1275475022 — DEBRA WALKOWIAK
Practice Location Address:

309 W 2ND ST
GRAND ISLAND, NE
68801-5933

Practice Phone: 308-833-5300
Practice Fax:

1548102262 — MACKENZIE HANSEN
Practice Location Address:

1719 S LOCUST ST
GRAND ISLAND, NE
68801-8248

Practice Phone: 253-259-0165
Practice Fax:

1437092921 — ANAYELI AVINA
Practice Location Address:

3234 W SCHIMMER DR STE 1
GRAND ISLAND, NE
68801-7316

Practice Phone: 574-387-4313
Practice Fax:

Directions to “ KATHLEEN MARIE SIEMON NEBRASKA” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.