Individual
KELLY MICHELLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2800 WOODS BLVD APT 209, LINCOLN, NE 68502-5830
(402) 914-0543
Mailing address
2800 WOODS BLVD APT 209, LINCOLN, NE 68502-5830
(402) 914-0543
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
14916
NE
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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