Organization
KELSEY RAYMOND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY RAYMOND LMHP (OWNER)
(402) 403-9327
Entity
Organization
Contact information
Practice address
11725 ARBOR ST, OMAHA, NE 68144-2974
(402) 403-9327
Mailing address
11725 ARBOR ST, OMAHA, NE 68144-2974
(402) 403-9327
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NE
Enumeration date
07/16/2019
Last updated
07/16/2019
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