Allen, Keith

Allen, Keith is an individual health care provider with primary practice located at 444 S 44Th St , Omaha NE 68131-3727. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Allen, Keith can be contacted via phone (402) 559-6408.

Contact Information

Primary practice address
444 S 44Th St Omaha NE 68131-3727
Phone: (402) 559-6408
Fax: (402) 559-5737
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 245 Nebraska
Behavioral Health & Social Service Providers / Psychologist 103T00000X 245 Nebraska

Profile Details

NPI number 1548285638
LBN Legal business name Allen, Keith
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548285638 NPPES
Nebraska MEDICAID 100252872

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