Individual
KELLAN SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5007 MARTHA ST, OMAHA, NE 68106-3150
(402) 740-4053
Mailing address
2027 N 51ST ST, OMAHA, NE 68104-4335
(402) 740-4053
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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