Provider Demographics
NPI:1396632949
Name:POLLOCK, KATHERINE LELA
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:LELA
Last Name:POLLOCK
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 1:1448 PIONEERS RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT DALE
Mailing Address - State:NE
Mailing Address - Zip Code:68423-9069
Mailing Address - Country:US
Mailing Address - Phone:402-326-8484
Mailing Address - Fax:
Practice Address - Street 1:2885 LAUREL ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502-5145
Practice Address - Country:US
Practice Address - Phone:531-324-8584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant