Polk, Kelley J

Polk, Kelley J is an individual health care provider with primary practice located at 625 E 39Th St , South Sioux City NE 68776-3445. She 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 her primary health care specialty. Polk, Kelley J can be contacted via phone (402) 494-0040.

Contact Information

Primary practice address
625 E 39Th St South Sioux City NE 68776-3445
Phone: (402) 494-0040
Fax: (402) 494-0050
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 965 Nebraska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 001074 Iowa
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3670 Nebraska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1139 Nebraska

Profile Details

NPI number 1104092014
LBN Legal business name Polk, Kelley J
Credentials LIMHP,LADC
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2008
Last updated Aug 27th, 2013 - about 12 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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