Provider Demographics
NPI:1124829536
Name:KALININA, ALENA YEVGENIYVNA
Entity type:Individual
Prefix:
First Name:ALENA
Middle Name:YEVGENIYVNA
Last Name:KALININA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:ALENA
Other - Middle Name:YEVGENIYVNA
Other - Last Name:LACY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:516 S DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-6344
Mailing Address - Country:US
Mailing Address - Phone:402-303-2786
Mailing Address - Fax:
Practice Address - Street 1:223 E 14TH ST STE 240
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-3239
Practice Address - Country:US
Practice Address - Phone:402-984-1061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider