KELLI LYNNE KAVAN


Address: 6444 N 149th St, Omaha, NE 68116-4587
Phone: 4026995789

KELLI LYNNE KAVAN (NPI# 1356667018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356667018
Entity Type Individual
Full Name KELLI LYNNE KAVAN
Credential RDH
Practice Address 6444 N 149th St
Omaha
NE 68116-4587
Practice Telephone 4026995789
Mailing Telephone 4026995789
Enumeration Date 2010-04-20
Last Update Date 2010-04-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 1501 NE Dental Providers

Office Location

Street Address 6444 N 149TH ST
City OMAHA
State NE
Zip Code 68116-4587

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1720478647 Chelsea Hunter Social Worker 16101 Evans Street, Omaha, NE 68116 2015-01-30
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932714052 Cherrell T Rogers Dental Hygienist 4229 N 90th St Ste 103, Omaha, NE 68134-4136 2020-09-15
1033681689 Kara Lilienthal Dental Hygienist 6110 S 191st St, Omaha, NE 68135-4272 2018-12-20
1013403237 Jason James Brisbin Dental Hygienist 13256 Emiline St, Omaha, NE 68138-6108 2018-07-11
1538527015 Janet Clemens Dental Hygienist 801 N 96th St, Omaha, NE 68114-2504 2016-01-29
1255711677 Ann Burbach Dental Hygienist 10730 Pacific St Ste 105, Omaha, NE 68114-4700 2015-06-01
1699173419 Tama Trewet Dental Hygienist 985163 Nebraska Medical Ctr, Omaha, NE 68198-5163 2014-12-10
1598185878 Marjean Marie Stamm Dental Hygienist 656 N 164th St, Omaha, NE 68118-2504 2014-04-24
1669725545 Kerri Dittrich Dental Hygienist 16136 Cherrywood St, Omaha, NE 68136-1321 2012-10-17
1780996231 Deneen Ann Glass Dental Hygienist 5318 N 97th Ave, Omaha, NE 68134-1614 2010-07-12
1144452814 Mary Kristin Harrington Dental Hygienist 15102 Sprague St, Omaha, NE 68116-4258 2009-08-14
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City OMAHA
Zip Code 68116

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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