NPI

Kendra Amidon

NPI 1487169116

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Credential
LMT
Type
Individual
Enumeration date
2017-12-04
Last updated
2019-10-03

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Specialties

Licenses

License NE
3340

Location

Practice location
12040 McDermott Plz Ste 320
City
La Vista NE
Postal code
68128-2354
Phone
(402) 871-8469
Fax
(402) 597-2869

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in La Vista, NE. 623 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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