Individual
KELSEY ANNE MCKINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11810 NICHOLAS ST STE 102, OMAHA, NE 68154-4453
(402) 401-4404
Mailing address
4106 N 172ND ST, OMAHA, NE 68116-3041
(402) 238-5366
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3145
NE
Other
Enumeration date
08/31/2024
Last updated
08/31/2024
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