Individual
KELLI HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
14801 S 108TH ST, SPRINGFIELD, NE 68059-4925
(140) 233-9360
Mailing address
14801 S 108TH ST, SPRINGFIELD, NE 68059-4925
(402) 339-3606
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
59752
NE
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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