Provider Demographics
NPI:1902386295
Name:HARPER, KAITLYN (LIMHP)
Entity Type:Individual
Prefix:
First Name:KAITLYN
Middle Name:
Last Name:HARPER
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 1:965 PATRICIA DR
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-2922
Mailing Address - Country:US
Mailing Address - Phone:402-932-7788
Mailing Address - Fax:
Practice Address - Street 1:9223 BEDFORD AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-4725
Practice Address - Country:US
Practice Address - Phone:531-213-7396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-16
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11533101YM0800X
NE2620101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health