IndividualActive
Keene Tiedemann
NPI 1457233363 · Voluntary or Charitable Agency · Bellevue, NE
Provider details
- NPI number
- 1457233363
- Entity type
- Individual
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
10007 S 9th Cir
Bellevue, NE 68123-4023
Phone: (402) 680-2809
Approximate (ZIP-level) locationGet directions
Mailing address
10007 S 9th Cir
Bellevue, NE 68123-4023
Registry dates
- Enumerated
- 2025-07-22
- Last updated
- 2025-07-22
- Certified
- 2025-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.