Individual
KEENAN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1905 HARNEY ST STE 703, OMAHA, NE 68102-2366
(402) 346-6164
Mailing address
5063 HIMEBAUGH AVE, OMAHA, NE 68104-1341
(402) 346-6164
(402) 346-6928
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
02/28/2025
Last updated
12/10/2025
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