Organization
PLATTE VALLEY PAIN CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN SCOTT BALTER MD (PRESIDENT)
(308) 236-0507
Entity
Organization
Contact information
Practice address
2908 W 39TH ST, SUITE D, KEARNEY, NE 68845-1225
(308) 236-0507
(308) 236-0509
Mailing address
PO BOX 310255, DES MOINES, IA 50331-0255
(308) 236-0507
(308) 236-0509
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
02/16/2009
Last updated
11/24/2010
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