Provider Demographics
NPI:1033635511
Name:KAIFF, PAMELA (LIMHP)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:KAIFF
Suffix:
Gender:F
Credentials:LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 LINCOLN ST # 42
Mailing Address - Street 2:
Mailing Address - City:BRADSHAW
Mailing Address - State:NE
Mailing Address - Zip Code:68319-3032
Mailing Address - Country:US
Mailing Address - Phone:402-736-4352
Mailing Address - Fax:
Practice Address - Street 1:616 13TH ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:NE
Practice Address - Zip Code:68818-2400
Practice Address - Country:US
Practice Address - Phone:402-631-7267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-16
Last Update Date:2017-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE496101YA0400X
NE885101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)