Individual
STEPHANIE LEEANN KELNHOFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 995-5854
Mailing address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
152309
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
G185965
IA
Other
Enumeration date
10/29/2024
Last updated
08/06/2025
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