Kelly Colegrove

NPI #1609591890 in La Vista, Nebraska

Provider Information

NPI Number: 1609591890
Entity Type: Individual
Name: Kelly Colegrove
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Adult Companion
Enumeration Date: Oct 10, 2022
Last Updated: Oct 10, 2022

Practice Location

Address: 7821 TERRY DR
City: La Vista
State: Nebraska
ZIP Code: 68128-3943
Phone: (402) 898-0463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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