Individual ProviderKelsey HumphreySpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address5606 S 147th St, Omaha, NE 68137-2647(402) 715-8200PECOS EnrollmentBased on the most recent information from CMS, provider Kelsey Humphrey does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1134881543Provider TypeIndividualFull NameHumphrey, KelseyGenderFemaleSole ProprietorNoEnumeration Date10/13/2021Last Updated11/20/2024Contact InformationPractice LocationPractice Address5606 S 147th St, Omaha, NE 68137-2647Phone(402) 715-8200FaxUnlisted FaxMailing LocationMailing Address14609 Fowler Ave, Omaha, NE 68116-6616PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense850Nebraska