Gwartney, Kelly Renee
Gwartney, Kelly Renee is an individual health care provider with primary practice located at 1903 4Th Corso , Nebraska NE 68410-2601. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gwartney, Kelly Renee can be contacted via phone (402) 873-5505.Contact Information
Primary practice address
1903 4Th Corso
Nebraska NE 68410-2601
Phone: (402) 873-5505
Fax: (402) 873-6374
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 7827 | Nebraska |
Profile Details
NPI number | 1144308420 |
---|---|
LBN Legal business name | Gwartney, Kelly Renee |
Credentials | MA PLMHP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 2nd, 2006 |
Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144308420 | NPPES |
Nebraska | MEDICAID | 47052851501 | |
Nebraska | MEDICAID | 10025208500 |
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