Individual
KELLY ANN FAIRFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
17021 LAKESIDE HILLS PLZ, SUITE 201, OMAHA, NE 68130-2390
(402) 758-5050
Mailing address
540 S 188TH AVENUE CIR, ELKHORN, NE 68022-5642
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2097
NE
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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