Individual
BEVERLY ANN KELLOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
8107 N 129TH ST, OMAHA, NE 68142-1328
(402) 203-9839
Mailing address
8107 N 129TH ST, OMAHA, NE 68142-1328
(402) 203-9839
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NE
Other
Enumeration date
06/28/2025
Last updated
06/28/2025
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