Individual provider · Type 1 NPI

Keene Fulton Tiedemann

Voluntary or Charitable Agency · Bellevue, NE

NPI number 1457233363 Active

Practice location

10007 S 9th Cir
Bellevue, NE 68123-4023

Call (402) 680-2809 Map

Specialties and licenses

TaxonomyCodeLicense
Voluntary or Charitable Agency Primary 251V00000XNone listed

Voluntary or Charitable Agency: Definition to come...

About NPI 1457233363

Keene Fulton Tiedemann's National Provider Identifier is 1457233363, issued on Jul 22, 2025. The primary taxonomy on file is Voluntary or Charitable Agency (251V00000X), and the practice location is in Bellevue, NE. The record was last updated on Jul 22, 2025.