Provider Demographics
NPI:1902163041
Name:SEQUENZIA, KILEY ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:KILEY
Middle Name:ANN
Last Name:SEQUENZIA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8424 W CENTER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-3138
Mailing Address - Country:US
Mailing Address - Phone:402-933-6233
Mailing Address - Fax:402-933-6255
Practice Address - Street 1:8424 W CENTER RD STE 100
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-3138
Practice Address - Country:US
Practice Address - Phone:402-933-6233
Practice Address - Fax:402-933-6255
Is Sole Proprietor?:No
Enumeration Date:2012-04-13
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1712111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor