Individual
MIKAYLA KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4508 38TH ST STE 133, COLUMBUS, NE 68601-1668
(402) 562-4700
Mailing address
4508 38TH ST STE 133, COLUMBUS, NE 68601-1668
(402) 562-4700
(402) 562-4701
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2663
NE
Other
Enumeration date
10/08/2021
Last updated
01/03/2022
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