Kellberg, Debra L
Kellberg, Debra L is an individual health care provider with primary practice located at 707 N 190Th Plz , Elkhorn NE 68022-3974. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Kellberg, Debra L can be contacted via phone (402) 815-6428.Contact Information
Primary practice address
707 N 190Th Plz
Elkhorn NE 68022-3974
Phone: (402) 815-6428
Fax: (402) 815-1565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | 110561 | Nebraska |
Profile Details
| NPI number | 1811100126 |
|---|---|
| LBN Legal business name | Kellberg, Debra L |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2007 |
| Last updated | Sep 18th, 2014 - about 10 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 | 1811100126 | NPPES |
| Iowa | MEDICAID | 1811100126 | |
| Iowa | MEDICAID | 100258661-00 |
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