Provider Demographics
NPI:1134918758
Name:CARDENAS, KATHLEEN ELIZABETH
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:ELIZABETH
Last Name:CARDENAS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:ELIZABETH
Other - Last Name:CECH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 46
Mailing Address - Street 2:
Mailing Address - City:BELLWOOD
Mailing Address - State:NE
Mailing Address - Zip Code:68624-0046
Mailing Address - Country:US
Mailing Address - Phone:402-615-2633
Mailing Address - Fax:
Practice Address - Street 1:618 HIGH ST
Practice Address - Street 2:
Practice Address - City:BELLWOOD
Practice Address - State:NE
Practice Address - Zip Code:68624-2520
Practice Address - Country:US
Practice Address - Phone:402-615-2633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider