Individual
KELLI JEAN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3300 N 22ND ST, OMAHA, NE 68110-1988
(531) 299-1780
(531) 299-1798
Mailing address
3300 N 22ND ST, OMAHA, NE 68110-1988
(531) 299-1780
(531) 299-1798
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
41001
NE
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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