Individual
KELSEY RUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2217 W 12TH ST STE 3, HASTINGS, NE 68901-3660
(402) 462-6484
Mailing address
519 S MAPLE AVE, HASTINGS, NE 68901-5619
(308) 530-7024
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3214
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3214
NE
NE
Enumeration date
01/16/2026
Last updated
01/16/2026
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