Individual
KIESEN PAUL VANDERWEIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
612 14TH ST, WISNER, NE 68791-2042
(402) 313-9711
Mailing address
612 14TH ST, WISNER, NE 68791-2042
(402) 313-9711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NE
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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