Healthcare Provider Details

I. General information

NPI: 1720871080
Provider Name (Legal Business Name): KELLY'S KIDS LEARNING & DEVELOPMENT CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2025
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4005 N 70TH ST
LINCOLN NE
68507-1917
US

IV. Provider business mailing address

4005 N 70TH ST
LINCOLN NE
68507-1917
US

V. Phone/Fax

Practice location:
  • Phone: 402-436-4005
  • Fax:
Mailing address:
  • Phone: 402-436-4005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM3000X
TaxonomyMedically Fragile Infants and Children Day Care
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: KELLY E KIIHNE
Title or Position: DIRECTOR/OWNER
Credential:
Phone: 402-436-4005