Individual
MRS. KELLI KATHLEEN KRAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
5606 S 147TH ST, BELLEVUE, NE 68137
(402) 201-4635
Mailing address
5606 S 147TH ST, OMAHA, NE 68137-2648
(402) 201-4635
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
910
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
910
SPEECH PATHOLOGY
NE
Enumeration date
04/01/2008
Last updated
12/09/2015
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