Individual
KAELYSE NOEL ADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
412 W 42ND ST, KEARNEY, NE 68845-2401
(308) 865-2303
(308) 865-2304
Mailing address
PO BOX 431, CHADRON, NE 69337-0431
(308) 432-4441
(308) 432-2130
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2217
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2217
NEBRASKA STATE LICENSE (PA-C)
NE
Enumeration date
03/06/2018
Last updated
11/08/2023
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