Healthcare Provider Details

I. General information

NPI: 1528956489
Provider Name (Legal Business Name): KELSEY CAHILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2025
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 W F ST
NORTH PLATTE NE
69101-5201
US

IV. Provider business mailing address

301 W F ST
NORTH PLATTE NE
69101-5201
US

V. Phone/Fax

Practice location:
  • Phone: 308-696-3326
  • Fax:
Mailing address:
  • Phone: 308-696-3326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number20210009316
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: