Keck, Gary L.

Keck, Gary L. is an sole proprietor health care provider with primary practice located at 502 W 2Nd St , Grand Island NE 68801-5938. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Keck, Gary L. can be contacted via phone (308) 379-4040.

Contact Information

Primary practice address
502 W 2Nd St Grand Island NE 68801-5938
Phone: (308) 379-4040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 433 Nebraska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1903 Nebraska
Behavioral Health & Social Service Providers / Professional 101YP2500X 1108 Nebraska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 691 Nebraska

Profile Details

NPI number 1881754620
LBN Legal business name Keck, Gary L.
Credentials MS, LIMHP, CPC, LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2006
Last updated Oct 26th, 2010 - about 14 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 1881754620 NPPES
Nebraska MEDICAID 10025305100

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