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1558641118
KELLY A FENN
OMAHA, NE
NPI
1558641118
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Former Name
KELLY A WITTLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NE 1603)
Enumeration Date
2011-08-26
Last Update Date
2011-08-26
Business Address
-- KELLY A FENN PA
988102 NEBRASKA MEDICAL CTR
OMAHA, NE 68198-8102
Phone number: 402-559-4017
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Mailing Address
-- KELLY A FENN PA
988102 NEBRASKA MEDICAL CTR
OMAHA, NE 68198-8102
Phone number: 402-559-4017
Copy
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