Individual
DR. KELLY PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4430 ASH HOLLOW CT, LINCOLN, NE 68516-2983
(402) 450-8399
(402) 858-1281
Mailing address
4430 ASH HOLLOW CT, LINCOLN, NE 68516-2983
(402) 450-8399
(402) 858-1281
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20387
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0107639
UHC SHARE ADVANTAGE
NE
01
—
32254
BLUE CROSS BLUE SHIELD
NE
01
—
P00403225
RAILROAD MEDICARE
NE
Enumeration date
12/18/2006
Last updated
03/18/2020
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