Healthcare Provider Details

I. General information

NPI: 1760313670
Provider Name (Legal Business Name): KELSEE KAY NOAHR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11635 ARBOR ST STE 110
OMAHA NE
68144-5000
US

IV. Provider business mailing address

16014 BEDFORD AVE
OMAHA NE
68116-6431
US

V. Phone/Fax

Practice location:
  • Phone: 402-506-9368
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: