| Family Network Pc | |
|
415 W 33rd St Kearney NE 68845-3460 | |
| (308) 236-7545 | |
| Not Available |
| Full Name | Family Network Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 415 W 33rd St, Kearney, Nebraska |
| Authorized Official Name and Position | Kelly Jo Shada (OWNER) |
| Authorized Official Contact | 3082367545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Network Pc 415 W 33rd St Kearney NE 68845-3460 Ph: (308) 236-7545 | Family Network Pc 415 W 33rd St Kearney NE 68845-3460 Ph: (308) 236-7545 |
| NPI Number | 1447794219 |
|---|---|
| Provider Enumeration Date | 12/13/2016 |
| Last Update Date | 12/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447794219 | NPI | - | NPPES |
| 10025506300 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 423 (Nebraska) | Primary |
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