Individual
KELSEY GANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
75-5699 KOPIKO ST, KAILUA KONA, HI 96740-3651
(808) 329-7744
Mailing address
13609 CALIFORNIA ST, OMAHA, NE 68154-5260
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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