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
Fax: (402) 873-6374
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144308420 NPPES
Nebraska MEDICAID 47052851501
Nebraska MEDICAID 10025208500

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