Individual
KELSEY GARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12002 PACIFIC ST, OMAHA, NE 68154-3507
(402) 201-2373
Mailing address
1824 MAYFAIR DR, OMAHA, NE 68144-1050
(402) 981-3142
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
116959
NE
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NE
Other
Enumeration date
06/08/2026
Last updated
06/15/2026
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