Individual
KWYNN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2220 S 10TH ST, LINCOLN, NE 68502-3445
(402) 475-8748
Mailing address
2633 P ST, LINCOLN, NE 68503-3528
(402) 475-5161
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P2187
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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