Individual
KELLY WESEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2625 W 8TH ST, HASTINGS, NE 68901-3500
(402) 460-0628
Mailing address
2625 W 8TH ST, HASTINGS, NE 68901-3500
(402) 460-0628
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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