Individual
DR. KELLEN L HUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16909 LAKESIDE HILLS CT STE 208, OMAHA, NE 68130-4663
(402) 717-0820
(402) 717-6061
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 717-0820
(402) 717-6061
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
29287
NE
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
43471
IA
Other
Enumeration date
07/07/2009
Last updated
09/30/2024
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