Provider Demographics
NPI:1770381675
Name:HAUSMANN, KENDRA MARIE (LPN)
Entity type:Individual
Prefix:
First Name:KENDRA
Middle Name:MARIE
Last Name:HAUSMANN
Suffix:
Gender:
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 ILLINOIS ST
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:NE
Mailing Address - Zip Code:69162-1705
Mailing Address - Country:US
Mailing Address - Phone:308-254-6270
Mailing Address - Fax:
Practice Address - Street 1:427 ILLINOIS ST
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:NE
Practice Address - Zip Code:69162-1705
Practice Address - Country:US
Practice Address - Phone:308-254-6270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE22280164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse