Individual
SEAN E KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 NELSON ST, CAMBRIDGE, NE 69022
(308) 737-1445
Mailing address
204 W MAPLE ST, BARTLEY, NE 69020-2200
(308) 737-1445
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1167
NE
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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