Individual
DR. KENNETH WILLIAM VERMAAS III
Active
Individual
DR. KENNETH WILLIAM VERMAAS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY D
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
596
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08237
BCBS
NE
05
—
10025207700
—
NE
05
—
10025208000
—
NE
05
—
10025208200
—
NE
05
—
10025208500
—
NE
05
—
10025208600
—
NE
05
—
10025208700
—
NE
05
—
470528515-01
—
NE
05
—
470528515-02
—
NE
05
—
470528515-04
—
NE
05
—
470528515-08
—
NE
05
—
470528515-10
—
NE
01
—
96005
BCBS AUX NUMBER
NE
Enumeration date
10/03/2006
Last updated
09/24/2008
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