Healthcare Provider Details

I. General information

NPI: 1760990121
Provider Name (Legal Business Name): KELSEY BURR PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2018
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 W 2ND ST STE 223
HASTINGS NE
68901-4683
US

IV. Provider business mailing address

2727 W 2ND ST STE 223
HASTINGS NE
68901-4683
US

V. Phone/Fax

Practice location:
  • Phone: 402-984-0571
  • Fax:
Mailing address:
  • Phone: 402-984-0571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number114570
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: