Provider Demographics
NPI:1386012862
Name:MCKEONE, KARA (MS)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:MCKEONE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:
Other - Last Name:CUDNEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:225 N 17TH ST
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:NE
Mailing Address - Zip Code:68361-1613
Mailing Address - Country:US
Mailing Address - Phone:402-759-3143
Mailing Address - Fax:
Practice Address - Street 1:225 N 17TH ST
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:NE
Practice Address - Zip Code:68361-1613
Practice Address - Country:US
Practice Address - Phone:402-759-3143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-14
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1648235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist