Provider Demographics
NPI:1891590758
Name:TERLOUW, KYRA
Entity type:Individual
Prefix:
First Name:KYRA
Middle Name:
Last Name:TERLOUW
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 1:2929 CALIFORNIA PLZ APT 1362
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-1513
Mailing Address - Country:US
Mailing Address - Phone:970-623-9270
Mailing Address - Fax:
Practice Address - Street 1:301 CENTENNIAL MALL S
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508-2529
Practice Address - Country:US
Practice Address - Phone:402-471-3121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care