Individual
DR. KELLI J SHIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17675 WELCH PLZ, OMAHA, NE 68135-3551
(402) 354-7630
(402) 354-7635
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23204
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01516
BCBS OF NEBRASKA
NE
01
—
251093
MIDLANDS CHOICE
NE
Enumeration date
12/11/2006
Last updated
10/02/2025
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