Individual
KELSEY HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5606 S 147TH ST, OMAHA, NE 68137-2647
(402) 715-8200
Mailing address
14609 FOWLER AVE, OMAHA, NE 68116-6616
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
850
NE
Other
Enumeration date
10/13/2021
Last updated
11/20/2024
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