Individual
KELLI M SOUCIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 30TH AVE STE A, KEARNEY, NE 68845-4015
(308) 293-4212
Mailing address
2501 30TH AVE STE A, KEARNEY, NE 68845-4015
(308) 293-4212
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2993
NE
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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