Individual
STACY KELLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
233 S 13TH ST STE 1100, LINCOLN, NE 68508-2003
(720) 897-3749
Mailing address
527 N 5TH ST, ONEILL, NE 68763-1327
(402) 540-1804
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
113220
NE
Other
Enumeration date
03/10/2021
Last updated
05/20/2025
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