SearchNebraska1041C0700X

Kiesen Vanderweide

NPI 1750224309 · on the registry since 2026 · sole proprietor

Practice

Address
612 14th St
Wisner, NE 68791
Phone
(402) 313-9711

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska