Individual
KELLIE LYNN POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 PRAIRIE AVE, BELLEVUE, NE 68005-4211
(402) 212-0651
Mailing address
1211 PRAIRIE AVE, BELLEVUE, NE 68005-4211
(402) 212-0651
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
NE
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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