Individual
KELLY ANN GEWEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2707 L ST, SUITE 1, ORD, NE 68862-1275
(308) 728-4202
(308) 728-3500
Mailing address
2707 L ST, SUITE 1, ORD, NE 68862-1275
(308) 728-4202
(308) 728-3500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111324
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111324
STATE OF NEBRASKA
NE
Enumeration date
01/11/2012
Last updated
07/19/2016
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