Individual
MR. JOHN (KEVIN) KEELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHP
Contact information
Practice address
8303 DODGE ST, OMAHA, NE 68114-4108
(402) 354-8350
(402) 354-8355
Mailing address
PO BOX 2797, OMAHA, NE 68103-2797
(402) 354-4230
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
859
NE
1041C0700X
Clinical Social Worker
621
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068132
—
IA
05
—
1003923574
—
IA
05
—
47037660433
—
NE
Enumeration date
08/23/2006
Last updated
12/13/2013
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