SearchNebraska235Z00000X

Kelsey Peters

NPI 1124670153 · on the registry since 2019 · sole proprietor

Practice

Address
12828 Augusta Ave
Omaha, NE 68144
Phone
(712) 310-1972
Organisation at this address
Dylan C Gaillard, Dds, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-12-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska