Individual
KELLIE D LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8201 NORTHWOODS DR, LINCOLN, NE 68505-3092
(402) 465-5600
(402) 327-6017
Mailing address
8201 NORTHWOODS DR, LINCOLN, NE 68505-3092
(402) 465-5600
(402) 327-6074
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
737
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025151600
—
NE
05
—
10026368300
—
NE
05
—
47079049100
—
NE
05
—
47079049112
—
NE
Enumeration date
12/29/2005
Last updated
03/06/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us