Individual
DR. NORMAN RAY KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11330 Q ST, OMAHA, NE 68137-3679
(402) 660-1549
(402) 504-3496
Mailing address
11330 Q ST, OMAHA, NE 68137-3679
(402) 660-1549
(402) 504-3496
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
20323
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
268399
MR CODE
NE
01
—
47073897408
MD#ALTID 4
NE
Enumeration date
07/19/2006
Last updated
03/07/2023
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