Individual
ALLISON KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20650 GLENN ST, ELKHORN, NE 68022-2324
(402) 289-2579
Mailing address
15911 FILMORE CIR, BENNINGTON, NE 68007-1805
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
201401258
NE
Other
Enumeration date
08/12/2014
Last updated
01/19/2021
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