Patty Kay Kettelhut
Individual provider Active NPI Day Training/Habilitation Specialist · Ceresco, NE
NPI 1861207409 · NPPES record last updated Feb 11, 2025
Key facts
- NPI
- 1861207409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Day Training/Habilitation Specialist 373H00000X
- Practice address
- 22900 N 27TH St
Ceresco, NE 68017-4273 - Phone
- (402) 802-3599
- NPI assigned
- Feb 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | Yes |
Addresses
Primary practice location
22900 N 27TH St
Ceresco, NE 68017-4273
Mailing address
22900 N 27TH St
Ceresco, NE 68017-4273
Phone (402) 802-3599
Other providers in Ceresco, NE
- Briana Lee Boner
- Ceresco Rural Fire Protection District No 5
- Bruce W Evans
- Samantha Jo Evans
- Trina Hall
- Beth Marie Nacke
- Kim Marie Nelson
- Ana B Pelayo
- Blake Michael Richater
- Allison Storm
All providers in Ceresco, NE · Day Training/Habilitation Specialist in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.