Most Relevant Information
Provider Data
| NPI Number: | 1003247784 |
| Provider Name: | AMY KELLOUGH |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/06/2013 |
| Last Updated: | 12/06/2013 |
Provider Practice Location
1000 S 13TH ST
LINCOLN
NE
685083533
Practice Location Phone/Fax
| Phone: | 4024755161 |
| Fax: |
Provider Mailing Location
1000 S 13TH ST
LINCOLN
NE
685083533
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |