MEDICARE: KP PERSPECTIVES,LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1821855818
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KP PERSPECTIVES,LLC

Provider Business Mailing Address
First Line	:	3741 S 81ST ST
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68506-4727
Country	:	US
Telephone Number	:	402-802-3917
Fax Number	:

Provider Business Practice Location Address
First Line	:	6221 S 58TH ST STE F
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68516-3679
Country	:	US
Telephone Number	:	402-318-5338
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	KATHRYN PERRY
Credential	:	LIMHP.LPC
Telephone Number	:	402-631-1985

Provider Enumeration Date	:	03/05/2024
Last Update Date	:	08/23/2024

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