Individual
JAMI R KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
2602 J ST, OMAHA, NE 68107-1643
(402) 733-1325
(402) 734-1780
Mailing address
3017 10TH AVE, COUNCIL BLUFFS, IA 51501-5844
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
03710
IA
124Q00000X
Dental Hygienist
Primary
2106
NE
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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