Individual
KELSEY ELIZABETH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
444 S 44TH ST, OMAHA, NE 68131-3727
(402) 559-8863
(402) 559-5737
Mailing address
985450 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-5450
(402) 559-8863
(402) 559-5737
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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