Individual
KASEY HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11040 ELLISON AVE, OMAHA, NE 68164-1520
(402) 817-2501
Mailing address
11040 ELLISON AVE, OMAHA, NE 68164-1520
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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