Kellie Lane
Technician, Personal Care Attendant in Lincoln, NE. Individual provider (NPI-1).
NPI number1003794017
StatusActive
Last updated in NPPESAug 26, 2025
Details
- NPI
- 1003794017
- Entity type
- Individual (NPI-1)
- Name
- Kellie Lane
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 26, 2025
- Certification date
- Aug 26, 2025
- Last updated
- Aug 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
5001 Nw 1st St Ste 7Lincoln, NE 68521-4498
Phone 402-440-5878
Mailing address
110 N Bare AveNorth Platte, NE 69101-4470
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