Organization
K.R.L. PSYCHOLOGICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH R. LIGGETT PH.D. (PRESIDENT)
(402) 486-3011
Entity
Organization
Contact information
Practice address
15101 BENNET RD, BENNET, NE 68317-2014
(402) 473-2824
(402) 782-2283
Mailing address
15101 BENNET RD, BENNET, NE 68317-2014
(402) 473-2824
(402) 782-2283
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
112
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08108
BLUE CROSS BLUE SHIELD
NE
Enumeration date
02/11/2007
Last updated
08/22/2020
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