Ealy, Kelly Denise

Ealy, Kelly Denise is an individual health care provider with primary practice located at 5606 S 147Th St , Omaha NE 68137-2648. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Ealy, Kelly Denise can be contacted via phone (402) 715-8200.

Contact Information

Primary practice address
5606 S 147Th St Omaha NE 68137-2648
Phone: (402) 715-8200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X

Profile Details

NPI number 1568835114
LBN Legal business name Ealy, Kelly Denise
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2015
Last updated Nov 4th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568835114 NPPES
Nebraska Other 2262 NEBRASKA STATE LICENSE 2262

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