Individual
DR. KELSEY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4000 E CAMPUS LOOP S, LINCOLN, NE 68583
(402) 472-1330
Mailing address
832 S 32ND ST, LINCOLN, NE 68510-3226
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
129
NE
122300000X
Dentist
Primary
61262
KS
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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