Andersen, Kellen Michael
Andersen, Kellen Michael is an individual health care provider with primary practice located at 7710 Mercy Rd Ste 202 , Omaha NE 68124-2353. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Andersen, Kellen Michael can be contacted via phone (402) 280-4195.Contact Information
Primary practice address
7710 Mercy Rd Ste 202
Omaha NE 68124-2353
Phone: (402) 280-4195
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | TEP8984 | Nebraska |
Profile Details
| NPI number | 1124699046 |
|---|---|
| LBN Legal business name | Andersen, Kellen Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2021 |
| Last updated | Jul 2nd, 2021 - about 5 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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