Most Relevant Information
Provider Data
| NPI Number: | 1003336231 |
| Provider Name: | KELLY KATHLEEN BROWN MS, PLMHP |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 11208 |
Most Important Dates
| Enumeration Date: | 06/20/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
11919 GRANT ST STE 201
OMAHA
NE
681643475
Practice Location Phone/Fax
| Phone: | 5312225783 |
| Fax: |
Provider Mailing Location
1718 N 105TH ST
OMAHA
NE
681141006
Provider Mailing Phone/Fax
| Phone: | 5312225783 |
| Fax: |