Individual
KERRY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1006 VIRGINIA ST, BELLEVUE, NE 68147-2656
(402) 933-0680
Mailing address
2196 PARKER CIR, OMAHA, NE 68110-2362
(402) 208-1074
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
NE
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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