Individual
KELLI DIANE MANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
982185 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-2185
(402) 559-5380
(402) 559-5137
Mailing address
982185 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-2185
(402) 559-5380
(402) 559-5137
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35421
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2020
Last updated
05/24/2023
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