| Kelsey Raymond Llc | |
|
11725 Arbor St Omaha NE 68144-2974 | |
| (402) 403-9327 | |
| Not Available |
| Full Name | Kelsey Raymond Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 11725 Arbor St, Omaha, Nebraska |
| Authorized Official Name and Position | Kelsey Raymond (OWNER) |
| Authorized Official Contact | 4024039327 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelsey Raymond Llc 11725 Arbor St Omaha NE 68144-2974 Ph: (402) 403-9327 | Kelsey Raymond Llc 11725 Arbor St Omaha NE 68144-2974 Ph: (402) 403-9327 |
| NPI Number | 1376195701 |
|---|---|
| Provider Enumeration Date | 07/16/2019 |
| Last Update Date | 07/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376195701 | NPI | - | NPPES |
| PENDING | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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