Individual
KELLI D WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-7400
(402) 955-7405
Mailing address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-5400
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2283
NE
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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