Individual
DR. MARY NAN KELSEY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
220 N 89TH ST, OMAHA, NE 68114-4072
(402) 390-6006
(402) 390-6446
Mailing address
220 N 89TH ST, OMAHA, NE 68114-4072
(402) 390-6006
(402) 390-6446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4675
NE
Other
Enumeration date
10/25/2005
Last updated
10/29/2015
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