Keylon, Blenda

Keylon, Blenda is an individual health care provider with primary practice located at 2121 N Webb Rd Ste 100A, Grand Island NE 68803. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Keylon, Blenda can be contacted via phone (308) 381-4161.

Contact Information

Primary practice address
2121 N Webb Rd Ste 100A Grand Island NE 68803
Phone: (308) 381-4161
Fax: (308) 381-4165
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2026 Nebraska
Behavioral Health & Social Service Providers / Clinical 1041C0700X 943 Nebraska

Profile Details

NPI number 1184702334
LBN Legal business name Keylon, Blenda
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1184702334 NPPES
Nebraska MEDICAID 10024963100

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