Individual
KELLY JO ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3001 S 144TH STREET, SUITE 2001, OMAHA, NE 68144
(402) 697-7093
(402) 697-7049
Mailing address
3001 S 144TH ST, SUITE 2001, OMAHA, NE 68144-5221
(402) 697-7093
(402) 697-7049
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1256
NE
Other
Enumeration date
12/05/2006
Last updated
07/15/2014
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