Provider Demographics
NPI:1598552358
Name:SIZER-VEDDER, KATHRYN SUE
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:SUE
Last Name:SIZER-VEDDER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 LAGO VILLA
Mailing Address - Street 2:
Mailing Address - City:OGALLALA
Mailing Address - State:NE
Mailing Address - Zip Code:69153-6009
Mailing Address - Country:US
Mailing Address - Phone:308-289-4388
Mailing Address - Fax:
Practice Address - Street 1:15 LAGO VILLA
Practice Address - Street 2:
Practice Address - City:OGALLALA
Practice Address - State:NE
Practice Address - Zip Code:69153-6009
Practice Address - Country:US
Practice Address - Phone:308-289-4388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE30711192253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care