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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEENE FULTON TIEDEMANN

Active Sole Proprietor

KEENE FULTON TIEDEMANN is a Voluntary or Charitable healthcare provider located in BELLEVUE, Nebraska. NPI 1457233363 is currently active in the NPPES registry. Verify at CMS.

Voluntary or Charitable · BELLEVUE, NE

Registration Details

NPI Number
1457233363
Provider Type
Individual
Gender
Male
NPI Issued
Jul 22, 2025 (1.0847372933566 yrs)
Last Updated
Jul 22, 2025
Sole Proprietor
Yes

Practice Information

Address
10007 S 9TH CIR
BELLEVUE, NE, 681234023
Browse NE providers · Browse ZIP 68123
Phone
4026802809
Primary Specialty
Voluntary or Charitable
251V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.