Organization
REGENERATION P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY THELEN APRN (OWNER)
(402) 483-0431
Entity
Organization
Contact information
Practice address
6030 VILLAGE DR STE 100, LINCOLN, NE 68516-4773
(402) 483-0431
(402) 483-9905
Mailing address
6030 VILLAGE DR STE 100, LINCOLN, NE 68516-4773
(402) 483-0431
(402) 483-9905
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
110335
NE
Other
Enumeration date
10/12/2016
Last updated
12/07/2016
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