Individual
MAGGIE KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2354 NW 57TH ST, LINCOLN, NE 68524-1078
(402) 217-5520
Mailing address
2354 NW 57TH ST, LINCOLN, NE 68524-1078
(402) 217-5520
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NE
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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