Individual
DR. WILLIAM PATRICK KELSEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2141 SOUTH 63RD STREET, OMAHA, NE 68106
(402) 551-1811
(402) 280-5093
Mailing address
220 N 89TH ST, STE 203, OMAHA, NE 68114-4072
(402) 390-6006
(402) 390-6446
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4486
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05157
BLUE CROSS BLUE SHIELD
NE
01
—
36495
UNITED CONCORDIA
NE
Enumeration date
11/28/2006
Last updated
11/18/2015
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