NPI 1124833058

Kelly D Carriger

Practitioner Contractor Bellevue, NE

Practice location

Address: 12103 S 29th St, Bellevue, NE 68123-1404
Phone: (626) 672-8587

Registered specialties (2)

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 3747P1801X (NE)

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Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 3747P1801X (NE)

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Registry record

NPI: 1124833058
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Feb 2025
Record last updated: 10 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.