Provider Demographics
NPI:1063229763
Name:MCCUSKEY, KAREN E
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:E
Last Name:MCCUSKEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 CEDAR LANE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-9224
Mailing Address - Country:US
Mailing Address - Phone:308-660-9793
Mailing Address - Fax:
Practice Address - Street 1:163 CEDAR LANE DR
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-9224
Practice Address - Country:US
Practice Address - Phone:308-660-9793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty