Individual
KAYLA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7910 MEREDETH CT, LINCOLN, NE 68506-5937
(573) 825-3246
Mailing address
7910 MEREDETH CT, LINCOLN, NE 68506-5937
(573) 825-3246
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1159
NE
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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