Individual
KELLIE LYNN ELSASSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18515 PIONEERS BLVD, WALTON, NE 68461-9693
(402) 805-2621
Mailing address
18515 PIONEERS BLVD, WALTON, NE 68461-9693
(402) 805-2621
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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