Individual
KIMBERLY KAY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
704 S 38TH AVE, OMAHA, NE 68105-1107
(402) 559-2463
Mailing address
18912 MARGO ST, OMAHA, NE 68136-2099
(402) 320-7171
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
609
NE
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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