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Kelly Kelly

NPI 1275439150 · on the registry since 2026

Practice

Address
3921 Castelar St
Omaha, NE 68105
Phone
(402) 253-7961

Registry record

Primary taxonomy
247200000X
247200000X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-10-16

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