Provider Demographics
NPI:1861755977
Name:MEYERS-ALLEN, KELLY A (BSW)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:A
Last Name:MEYERS-ALLEN
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:KELLY
Other - Middle Name:A
Other - Last Name:CALLAHAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BSW
Mailing Address - Street 1:1230 N 66TH ST
Mailing Address - Street 2:APT 2
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68505-1820
Mailing Address - Country:US
Mailing Address - Phone:402-441-7940
Mailing Address - Fax:
Practice Address - Street 1:2201 S 17TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502-3713
Practice Address - Country:US
Practice Address - Phone:402-441-7940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-22
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator