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NPI Code Detail

MEDICARE: KELSEY RAE MAGUIRE

MEDICARE: KELSEY RAE MAGUIRE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant2205NE

General Provider Information

NPI Number : 1245747179
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY RAE MAGUIRE
Provider Business Mailing Address
First Line : 4214 38TH ST
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-1616
Country : US
Telephone Number : 402-564-1338
Fax Number : 402-564-8902
Provider Business Practice Location Address
First Line : 4214 38TH ST
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-1616
Country : US
Telephone Number : 402-564-1338
Fax Number : 402-564-8902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2017
Last Update Date : 01/20/2026

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Directions to “ KELSEY RAE MAGUIRE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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