Provider Demographics
NPI:1801789094
Name:SLEPICKA, KAYLEE (CCLS)
Entity type:Individual
Prefix:
First Name:KAYLEE
Middle Name:
Last Name:SLEPICKA
Suffix:
Gender:F
Credentials:CCLS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 S SHIMERDA ST
Mailing Address - Street 2:
Mailing Address - City:WILBER
Mailing Address - State:NE
Mailing Address - Zip Code:68465-3093
Mailing Address - Country:US
Mailing Address - Phone:402-418-0099
Mailing Address - Fax:
Practice Address - Street 1:703 S SHIMERDA ST
Practice Address - Street 2:
Practice Address - City:WILBER
Practice Address - State:NE
Practice Address - Zip Code:68465-3093
Practice Address - Country:US
Practice Address - Phone:402-418-0099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE30893174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist