Provider Demographics
NPI:1235944331
Name:OSBORNE ULRICH, KYLEY (CNA)
Entity type:Individual
Prefix:
First Name:KYLEY
Middle Name:
Last Name:OSBORNE ULRICH
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2319 N LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:NE
Mailing Address - Zip Code:68467-1001
Mailing Address - Country:US
Mailing Address - Phone:402-362-1444
Mailing Address - Fax:402-363-6623
Practice Address - Street 1:2319 N LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:NE
Practice Address - Zip Code:68467-1001
Practice Address - Country:US
Practice Address - Phone:402-362-1444
Practice Address - Fax:402-363-6623
Is Sole Proprietor?:No
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
372500000X, 3747P1801X
NE132615376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No372500000XNursing Service Related ProvidersChore Provider
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant