Individual
KALLIE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7500 S 91ST ST, LINCOLN, NE 68526-9437
(402) 327-2700
Mailing address
7500 S 91ST ST, LINCOLN, NE 68526-9437
(402) 327-2700
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
2819
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
02/29/2016
Last updated
08/17/2023
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