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Individual

DR. KELLY ANN FISCHER POTTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
535 FORTUNE DR STE 150, PAPILLION, NE 68046-3428
(402) 499-4108
Mailing address
7700 SW 17TH ST., LINCOLN, NE 68523-9200
(402) 499-4108

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
607
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025483900
NE
Enumeration date
11/01/2006
Last updated
08/11/2008
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