National Provider Identifier Database

WILLIAM T KENNEDY JR, L.A.D.C., PLMHP – NPI #1841330784
Mental Health

Contact Information

WILLIAM T KENNEDY JR, L.A.D.C., PLMHP
715 W ANNA ST
GRAND ISLAND, NE  68801-6713
Phone: 308-398-0350
Fax: 308-398-0352
Website:
Specialty Taxonomy Code
* Mental Health 101YM0800X
Addiction (Substance Use Disorder) 101YA0400X

* Indicates primary specialty

NPI Profile & details for WILLIAM T KENNEDY JR

NPI Number 1841330784
Credentials L.A.D.C., PLMHP
Entity Individual
Enumeration date 02/08/2007
Last updated 08/17/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • NE License #: 8362
  • NE License #: LADC-621
  • NE Medicaid: 10025551800
  • NE Other: 98340 BLUECROSS BLUESHIELD
  • NE Other: LADC-621 LICENSE ALCOHOL DRUG COUN
  • NE Other: 600245205 MAGELLAN
  • NE Other: PLMHP 8362 MENTAL HEALTH COUNSELOR
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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