Kennedy, William T

Kennedy, William T is an sole proprietor health care provider with primary practice located at 715 W Anna St , Grand Island NE 68801-6713. He recently has 2 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 / Mental Health is his primary health care specialty. Kennedy, William T can be contacted via phone (308) 398-0350.

Contact Information

Primary practice address
715 W Anna St Grand Island NE 68801-6713
Phone: (308) 398-0350
Fax: (308) 398-0352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LADC-621 Nebraska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 8362 Nebraska

Profile Details

NPI number 1841330784
LBN Legal business name Kennedy, William T
Credentials L.A.D.C., PLMHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2007
Last updated Aug 17th, 2023 - about last year

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 1841330784 NPPES
Nebraska MEDICAID 10025551800
Nebraska Other 98340
Nebraska Other LADC-621
Nebraska Other 600245205
Nebraska Other PLMHP 8362

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