# PLATTE VALLEY PAIN CARE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285873240
- **Authorized official:** DR. KEVIN SCOTT BALTER MD (PRESIDENT)
- **Authorized official phone:** (308) 236-0507

## Contact information

- **Practice address:** 2908 W 39TH ST, SUITE D, KEARNEY, NE 68845-1225
- **Practice address phone:** (308) 236-0507
- **Practice address fax:** (308) 236-0509
- **Mailing address:** PO BOX 310255, DES MOINES, IA 50331-0255
- **Mailing address phone:** (308) 236-0507
- **Mailing address fax:** (308) 236-0509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC1900X | Counseling Psychologist | — | NULL | — |
| 103TC1900X | Counseling Psychologist | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/16/2009
- **Last updated:** 11/24/2010