Individual
DR. KEITH ALLAN WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
614 N 4TH ST STE 108, ONEILL, NE 68763-1317
(402) 336-1306
Mailing address
614 N 4TH ST STE 108, ONEILL, NE 68763-1317
(402) 336-1306
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
111
NE
Other
Enumeration date
07/21/2007
Last updated
02/21/2023
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