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General NPI Number Information
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NPI Number | 1821331786
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Entity Type | Individual
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Provider Name | KELI KOLEGRAFF MD, PHD
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Gender | Female
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Dates
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Enumeration Date | 03/29/2013
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 5757 S 34TH ST STE 300
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City | LINCOLN
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State | NE
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Zip | 68516-6661
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Country | US
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Telephone | 402-405-4942
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 21763
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City | LINCOLN
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State | NE
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Zip | 68542-1763
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Country | US
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Telephone | 402-405-4942
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | MD471031
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 34969
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License Number State | NE
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