Individual
KELLEY MAE HUWALDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 S 25TH ST, LINCOLN, NE 68510-1213
(303) 902-9461
Mailing address
225 N COTNER BLVD APT 514, LINCOLN, NE 68505-2378
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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