Individual
KAILEE ANN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2091 BOX BUTTE AVE STE 700, ALLIANCE, NE 69301-4458
(308) 762-7244
Mailing address
2929 W LAKEFIELD DR, ALLIANCE, NE 69301-2032
(308) 760-8129
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
112936
NE
Other
Enumeration date
08/26/2019
Last updated
03/10/2021
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