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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811100126 NPPES
Iowa MEDICAID 1811100126
Iowa MEDICAID 100258661-00

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