Individual
KILEY A. CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8303 DODGE ST, OMAHA, NE 68114
(402) 354-2360
(402) 354-2440
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
73680
NE
363L00000X
Nurse Practitioner
Primary
112532
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447743075
—
IA
05
—
47068731716
—
NE
Enumeration date
06/08/2018
Last updated
11/20/2018
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