Provider Demographics
NPI:1518765072
Name:RADEBAUGH, KAREN JEAN
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:JEAN
Last Name:RADEBAUGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 WHITEROCK LN
Mailing Address - Street 2:
Mailing Address - City:ROCA
Mailing Address - State:NE
Mailing Address - Zip Code:68430-9672
Mailing Address - Country:US
Mailing Address - Phone:402-440-0248
Mailing Address - Fax:
Practice Address - Street 1:5400 WHITEROCK LN
Practice Address - Street 2:
Practice Address - City:ROCA
Practice Address - State:NE
Practice Address - Zip Code:68430-9672
Practice Address - Country:US
Practice Address - Phone:402-440-0248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider