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Kenneth Blevins

Technician, Personal Care Attendant in Waterloo, NE. Individual provider (NPI-1).

NPI number1235935339
StatusActive
Last updated in NPPESFeb 20, 2025

Details

NPI
1235935339
Entity type
Individual (NPI-1)
Name
Kenneth Blevins
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 20, 2025
Certification date
Feb 20, 2025
Last updated
Feb 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

23255 Denton St
Waterloo, NE 68069-3616

Phone 402-917-2134

Mailing address

23255 Denton St
Waterloo, NE 68069-3616

Phone 402-917-2134

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Other Personal Care Attendant providers in Waterloo, NE

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