Individual
KELLY CHRISTINE HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8303 DODGE ST, SUITE 250, OMAHA, NE 68114-4108
(402) 354-8124
(402) 393-2161
Mailing address
8303 DODGE ST, SUITE 250, OMAHA, NE 68114-4108
(402) 354-8124
(402) 393-2161
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111056
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24209
BC/BS PROVIDER #
NE
Enumeration date
08/12/2009
Last updated
11/06/2009
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