Individual
MICHAEL C RENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
211 WEST 33RD STREET, KEARNEY, NE 68845
(308) 865-2141
(308) 234-7582
Mailing address
PO BOX 2290, KEARNEY, NE 68848-2290
(308) 865-2767
(308) 865-2765
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
27
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08332
BCBS
—
05
—
47064194526
—
NE
Enumeration date
10/25/2006
Last updated
01/08/2019
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