SearchNebraska372500000X

Beverly Kellogg

NPI 1437048204 · on the registry since 2025 · sole proprietor

Practice

Address
8107 N 129th St
Omaha, NE 68142
Phone
(402) 203-9839
Clinicians at this address
2

Registry record

Primary taxonomy
372500000X
372500000X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-28

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