Provider Information for 1124084157
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Dr. JON B. KAYNE M.S.W., Ph.D.
Sex: Male
NPI: 1124084157
Last Updated: 2010-11-22
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||
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| NPI | 1124084157 | ||||||||||||||||
| Enumeration Date | 2006-04-26 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 4212 MCCARTY DR BELLEVUE, NE 68123-1185 United States Phone: 402-216-3917 | Fax:402-291-8018 | ||||||||||||||||
| Primary Practice Address | 4212 MCCARTY DR BELLEVUE, NE 68123-1185 United States Phone: 402-216-3917 | Fax:402-291-8018 | ||||||||||||||||
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