| Doctor Name: | DR. BRIAN KILEY CALLAWAY |
| NPI Number: | 1659700870 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 101YP1600X |
| Business Practice Address: | 1825 Kings Rd Gering, NE - 693412054 |
| Business Phone Number: | 3084363319 |
| Business Fax Number: | |
| Mailing Address: | 1825 Kings Rd, GERING |
| State: | NE |
| Postal Code: | 693412054 |
| Phone Number: | 3087658227 |
| Fax Number: | 3084363310 |
| NPI Enumeration Date: | 11/07/2013 |
| NPI Last Update Date: | 11/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | 101YP1600X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |