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Boston Kellogg
NPI 1295663722 · on the registry since 2026 · sole proprietor
Practice
- Address
- 4942 S 114th St
Omaha, NE 68137 - Phone
- (402) 509-4480
- Fax
- (402) 982-4099
- Organisation at this address
- Person Centered Developmental Disabilities Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 251E00000X
251E00000X
- Also registered as
- 3747P1801X
374U00000X
385H00000X - Sex
- Male
- Record last updated
- 2026-05-13
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