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NPI Code Detail

MEDICARE: MS. KELLY J OBERLECHNER APRN

MEDICARE: MS. KELLY J OBERLECHNER APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner110650NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
237389OTHERNEBC BS

General Provider Information

NPI Number : 1093766255
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KELLY J OBERLECHNER APRN
Provider Business Mailing Address
First Line : PO BOX 465
Second Line :
City : RED CLOUD
State : NE
Zip : 68970-0465
Country : US
Telephone Number : 402-746-5614
Fax Number : 402-746-5684
Provider Business Practice Location Address
First Line : 721 W 6TH AVE
Second Line :
City : RED CLOUD
State : NE
Zip : 68970-2278
Country : US
Telephone Number : 402-746-5614
Fax Number : 402-746-5684
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2006
Last Update Date : 07/08/2007

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