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NPI Code Detail

MEDICARE: KELLIE STONE PLMHP

MEDICARE:   KELLIE  STONE  PLMHP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor11941NE

General Provider Information

NPI Number : 1487207619
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLIE STONE PLMHP
Provider Business Mailing Address
First Line : 907 S KANSAS AVE
Second Line :
City : HASTINGS
State : NE
Zip : 68901-7024
Country : US
Telephone Number : 402-462-4677
Fax Number : 402-462-4699
Provider Business Practice Location Address
First Line : 1030 S SOUTHERN HILLS DR
Second Line :
City : HASTINGS
State : NE
Zip : 68901-7452
Country : US
Telephone Number : 402-462-2552
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2019
Last Update Date : 07/17/2019

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Directions to “ KELLIE STONE PLMHP” Practice Location

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