Healthcare Provider Details

I. General information

NPI: 1699694646
Provider Name (Legal Business Name): KELSEY LYNN HAYES MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 GALVIN RD S
BELLEVUE NE
68005-3064
US

IV. Provider business mailing address

12628 S 30TH ST
BELLEVUE NE
68123-1860
US

V. Phone/Fax

Practice location:
  • Phone: 402-292-6006
  • Fax:
Mailing address:
  • Phone: 402-983-1463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: