Individual
BREONNA KELLOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, COO
Contact information
Practice address
4611 S 96TH ST STE 134, OMAHA, NE 68127-1240
(402) 607-8344
(402) 607-8367
Mailing address
4611 S 96TH ST STE 134, OMAHA, NE 68127-1240
(402) 714-2414
(402) 607-8367
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9440338
FL
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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