Provider Demographics
NPI:1720886104
Name:RATHJEN, KAMILE
Entity type:Individual
Prefix:
First Name:KAMILE
Middle Name:
Last Name:RATHJEN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:KAMILE
Other - Middle Name:
Other - Last Name:PFEIFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2509 PIONEER BLVD
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68801-7343
Mailing Address - Country:US
Mailing Address - Phone:308-258-0548
Mailing Address - Fax:
Practice Address - Street 1:2509 PIONEER BLVD
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68801-7343
Practice Address - Country:US
Practice Address - Phone:308-258-0548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant