Individual
DR. JON B. KAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W., PH.D.
Contact information
Practice address
4212 MCCARTY DR, BELLEVUE, NE 68123-1185
(402) 216-3917
(402) 291-8018
Mailing address
4212 MCCARTY DR, BELLEVUE, NE 68123-1185
(402) 216-3917
(402) 291-8018
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
10
NE
101YM0800X
Mental Health Counselor
Primary
359
NE
1041C0700X
Clinical Social Worker
145
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82452
BCBS PROVIDER #
NE
Enumeration date
04/26/2006
Last updated
11/22/2010
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