Healthcare Provider Details

I. General information

NPI: 1588598148
Provider Name (Legal Business Name): KALI COLETTE PAULSON LMNT, RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2412 CUMING ST
OMAHA NE
68131-1600
US

IV. Provider business mailing address

2412 CUMING ST
OMAHA NE
68131-1600
US

V. Phone/Fax

Practice location:
  • Phone: 402-717-0380
  • Fax: 402-717-6059
Mailing address:
  • Phone: 402-717-0380
  • Fax: 402-717-6059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number2052
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: