Individual
MS. KELLY LYNN THELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3540 VILLAGE DR, SUITE 100, LINCOLN, NE 68516-4706
(402) 420-7113
(402) 328-8314
Mailing address
5930 S 58TH ST, SUITE A, LINCOLN, NE 68516-6402
(402) 483-0431
(402) 483-9905
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110335
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025777400
—
NE
01
—
37662
BCBS
NE
01
—
47381
BCBS
NE
Enumeration date
09/12/2006
Last updated
03/09/2015
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