Individual
KENDALL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2222 S 16TH ST STE 405B, LINCOLN, NE 68502-3796
(402) 481-5860
Mailing address
6870 NW 7TH ST, LINCOLN, NE 68521-3781
(916) 248-9031
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
08/07/2024
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