Provider Demographics
NPI:1073768420
Name:NEWRING, KIRK AB (PHD)
Entity Type:Individual
Prefix:DR
First Name:KIRK
Middle Name:AB
Last Name:NEWRING
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 E GOLD COAST ROAD
Mailing Address - Street 2:SUITE 800
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046
Mailing Address - Country:US
Mailing Address - Phone:402-557-6027
Mailing Address - Fax:402-557-6028
Practice Address - Street 1:1410 E GOLD COAST RD STE 300
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-5742
Practice Address - Country:US
Practice Address - Phone:402-557-6027
Practice Address - Fax:402-557-6028
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-27
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE657103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1366773095Medicaid