Individual
MENDI L KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1103 GALVIN RD S, AREA A, BELLEVUE, NE 68005-3004
(402) 557-6067
(402) 934-3686
Mailing address
3421 SHEFFIELD ST, OMAHA, NE 68112-2328
(402) 557-6067
(402) 934-3686
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
429
NE
Other
Enumeration date
05/10/2011
Last updated
05/10/2011
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