Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNEDY SHORES
ActiveKENNEDY SHORES is a Peer Specialist healthcare provider located in NORFOLK, Nebraska. NPI 1891500526 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · NORFOLK, NE
Registration Details
- NPI Number
- 1891500526
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 10, 2025 (1.5292189676398 yrs)
- Last Updated
- Apr 11, 2025
- Licenses
-
P-2247 (NE)399 (NE)
Practice Information
- Address
-
333 W NORFOLK AVE STE 201NORFOLK, NE, 687015221Browse NE providers · Browse ZIP 68701
- Phone
- 4023792030
- Primary Specialty
-
Peer Specialist
175T00000X
- Additional Specialty
- Peer Specialist
Other Peer Specialist Providers in NORFOLK, NE
| Name | Credential | NPI |
|---|---|---|
| MRS. ELAINE MARIE STALLBAUM | BA | 1295158830 |
| CASSANDRA HOFFART | — | 1356883490 |
| SCOTT LAMBRECHT | — | 1144732827 |
| CLIFTON HOGANCAMP | — | 1831602028 |
| STACEY SCOTT | — | 1548775075 |
| DAPHYNE ALLEY | — | 1194220491 |
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.