Provider Demographics
NPI:1174337513
Name:KEEBLER PSYCHIATRIC HEALTH LLC
Entity type:Organization
Organization Name:KEEBLER PSYCHIATRIC HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:KEEBLER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:402-450-5844
Mailing Address - Street 1:7727 S 26TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68512-9572
Mailing Address - Country:US
Mailing Address - Phone:402-450-5844
Mailing Address - Fax:
Practice Address - Street 1:7727 S 26TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68512-9572
Practice Address - Country:US
Practice Address - Phone:402-450-5844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty