Individual
KELLI CHRISTINE OSSENKOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2900 S 70TH ST, STE 310, LINCOLN, NE 68506-3688
(402) 434-5235
(402) 484-8891
Mailing address
6825 S 27TH ST, STE 201, LINCOLN, NE 68512-4872
(402) 434-5235
(402) 489-2137
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
NE809
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47055126013
—
NE
Enumeration date
09/15/2005
Last updated
05/27/2020
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