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Organization
PLATTE VALLEY PAIN CARE PC
Active
Organization
PLATTE VALLEY PAIN CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN SCOTT BALTER MD (PRESIDENT)
(308) 236-0507
Entity
Organization
Contact information
Practice address
2908 W 39TH ST, SUITE D, KEARNEY, NE 68845-1225
(308) 236-0507
(308) 236-0509
Mailing address
PO BOX 310255, DES MOINES, IA 50331-0255
(308) 236-0507
(308) 236-0509
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
NULL
103TC1900X
Counseling Psychologist
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
02/16/2009
Last updated
11/24/2010
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