Individual
KELSEY M. PAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
717 N 190TH PLZ STE 3200, ELKHORN, NE 68022-3913
(402) 815-1960
(402) 815-1961
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112089
NE
363LG0600X
Gerontology Nurse Practitioner
112089
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026293200
—
NE
05
—
1205380045
—
IA
Enumeration date
08/10/2016
Last updated
01/28/2021
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