Individual
ELIZABETH ANNE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 N 30TH ST, OMAHA, NE 68131
(531) 355-6540
(531) 355-0001
Mailing address
555 N 30TH ST, OMAHA, NE 68131-2136
(531) 355-6540
(531) 355-0001
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
30047
NE
207Y00000X
Otolaryngology Physician
55030
WI
Other
Enumeration date
04/07/2009
Last updated
10/02/2018
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