Individual
KATELYN MICHELLE GILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14504 S 23RD ST, BELLEVUE, NE 68123-4710
(402) 350-1679
Mailing address
2746 S 41ST ST, OMAHA, NE 68105-3302
(402) 810-2204
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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