Konruff, Kandy Pauline

Konruff, Kandy Pauline is an sole proprietor health care provider with primary practice located at 509 E 4Th St Ste C , North Platte NE 69101-6943. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Konruff, Kandy Pauline can be contacted via phone (308) 520-4213.

Contact Information

Primary practice address
509 E 4Th St Ste C North Platte NE 69101-6943
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1575 Nebraska

Profile Details

NPI number 1255486718
LBN Legal business name Konruff, Kandy Pauline
Credentials LMHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Oct 19th, 2023 - about 3 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 1255486718 NPPES
Nebraska MEDICAID 10025097300

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