IndividualActive
Jon Koop
NPI 1013716414 · Home Health Aide · Fairbury, NE
Provider details
- NPI number
- 1013716414
- Entity type
- Individual
- Primary specialty
- Home Health AideNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 53881663 (NE)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
71555 570th Ave
Fairbury, NE 68352-4077
Phone: (402) 446-2066
Approximate (ZIP-level) locationGet directions
Mailing address
71555 570th Ave
Fairbury, NE 68352-4077
Registry dates
- Enumerated
- 2025-03-10
- Last updated
- 2025-03-10
- Certified
- 2025-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.