Individual
KELLY ROWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
13336 INDUSTRIAL RD, SUITE 105, OMAHA, NE 68137-1124
(402) 330-3211
(402) 330-5970
Mailing address
13336 INDUSTRIAL RD, SUITE 105, OMAHA, NE 68137-1124
(402) 330-3211
(402) 330-5970
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
769
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47065477700
—
NE
Enumeration date
03/22/2007
Last updated
07/08/2007
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