Provider Demographics
NPI:1245128206
Name:RENNICK, KERRI
Entity type:Individual
Prefix:
First Name:KERRI
Middle Name:
Last Name:RENNICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KERRI
Other - Middle Name:
Other - Last Name:MUSSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:53 N MONTGOMERY ST
Mailing Address - Street 2:
Mailing Address - City:NELSON
Mailing Address - State:NE
Mailing Address - Zip Code:68961-4446
Mailing Address - Country:US
Mailing Address - Phone:402-879-9126
Mailing Address - Fax:
Practice Address - Street 1:53 N MONTGOMERY ST
Practice Address - Street 2:
Practice Address - City:NELSON
Practice Address - State:NE
Practice Address - Zip Code:68961-4446
Practice Address - Country:US
Practice Address - Phone:402-879-9126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider