Individual
KELLY GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
985330 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-5330
(402) 559-4111
Mailing address
4302 N 161ST ST, OMAHA, NE 68116-2988
(402) 968-1258
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111658
NE
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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