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Individual

MS. KELLY LYNN PRITCHETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
203A BARKLEY MEMORIAL CENTER, LINCOLN, NE 68583-0731
(402) 472-8824
(402) 472-3814
Mailing address
203A BARKLEY MEMORIAL CENTER, LINCOLN, NE 68583-0731
(402) 472-8824
(402) 472-3814

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
222
NE
237600000X
Audiologist-Hearing Aid Fitter
076
NE
237600000X
Audiologist-Hearing Aid Fitter
689
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025369300
NE
05
10025369400
NE
01
147001173
LICENSE
IL
01
222
NE AUDIOLOGY LICENSE
NE
01
37041
BCBS
NE
01
689
NE LICENSE HEARING AID DI
NE
01
P00453085
MEDICARE-RAILROAD
Enumeration date
10/11/2006
Last updated
06/30/2021
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