| Doctor Name: | DR. KENNETH WILLIAM VERMAAS |
| NPI Number: | 1659465441 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY D |
| License Number: | 596 |
| Business Practice Address: | 1903 4th Corso Blue Valley Behavioral Health Nebraska City, NE - 684102601 |
| Business Phone Number: | 4028735505 |
| Business Fax Number: | 4028736374 |
| Mailing Address: | 1251 N 14th St, NEBRASKA CITY |
| State: | NE |
| Postal Code: | 684101120 |
| Phone Number: | 4028737262 |
| Fax Number: | |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 09/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 596 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |