Individual
ALICIA MAE KETTELHAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 S 70TH ST STE 200, LINCOLN, NE 68506-1576
(402) 480-3152
Mailing address
8941 KINZIE ST, LINCOLN, NE 68507-1900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2856
NE
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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