Kellow, Hiba A
Kellow, Hiba A is an sole proprietor health care provider with primary practice located at 5305 S 96Th St , Omaha NE 68127-3317. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Kellow, Hiba A can be contacted via phone (402) 331-0701.Contact Information
Primary practice address
5305 S 96Th St
Omaha NE 68127-3317
Phone: (402) 331-0701
Fax: (402) 331-7130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 8639 | Colorado |
| Dental Providers / Dentist | 122300000X | 7118 | Nebraska |
Profile Details
| NPI number | 1053312363 |
|---|---|
| LBN Legal business name | Kellow, Hiba A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Oct 8th, 2013 - about 11 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 | 1053312363 | NPPES |
| Colorado | MEDICAID | 04010443 |
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