Individual
KELLY BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 VISTA RD, NORFOLK, NE 68701-6722
(402) 360-0031
Mailing address
87076 529 AVE, CREIGHTON, NE 68729-2842
(402) 360-1802
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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