Provider Demographics
NPI:1326413949
Name:KONNI KLUENDER, APRN, LLC
Entity Type:Organization
Organization Name:KONNI KLUENDER, APRN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KONNI
Authorized Official - Middle Name:KRISTYNE
Authorized Official - Last Name:KLUENDER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:402-389-0040
Mailing Address - Street 1:113 WHISPERING PINES LN
Mailing Address - Street 2:
Mailing Address - City:VALENTINE
Mailing Address - State:NE
Mailing Address - Zip Code:69201-1600
Mailing Address - Country:US
Mailing Address - Phone:402-389-0040
Mailing Address - Fax:
Practice Address - Street 1:843 E 4TH ST
Practice Address - Street 2:
Practice Address - City:AINSWORTH
Practice Address - State:NE
Practice Address - Zip Code:69210-1202
Practice Address - Country:US
Practice Address - Phone:402-389-0040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-08
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty