Hagerty, Keely J
Hagerty, Keely J is an individual health care provider with primary practice located at 988102 Nebraska Medical Ctr , Omaha NE 68198-8102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hagerty, Keely J can be contacted via phone (402) 595-2275.Contact Information
Primary practice address
988102 Nebraska Medical Ctr
Omaha NE 68198-8102
Phone: (402) 595-2275
Fax: (402) 291-5039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 110275 | Nebraska |
Profile Details
| NPI number | 1639128986 |
|---|---|
| LBN Legal business name | Hagerty, Keely J |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2006 |
| Last updated | Jun 22nd, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639128986 | NPPES |
| Nebraska | Other | 110275 | NE LICENSE |
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