Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Mark John Konecny

Individual provider Child Physical Disabilities Respite Care · NPI 1164301024

Mr. Mark John Konecny is a Child Physical Disabilities Respite Care in Omaha, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

15420 Summerwood Dr
Omaha, NE 68137-5107
Phone: (402) 515-0174
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child Physical Disabilities Respite Care (primary) Taxonomy 385HR2065X

Record details

NPI number1164301024
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 27, 2025
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025
Mailing address15420 Summerwood Dr, Omaha, NE 68137-5107

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