Individual
KELSEY JORDAN DABERKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2550 SUPERIOR ST STE 150, LINCOLN, NE 68521-4156
(402) 435-1166
Mailing address
6556 S 32ND ST, LINCOLN, NE 68516-4680
(402) 525-2044
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1654
NE
Other
Enumeration date
04/29/2024
Last updated
07/21/2024
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