Individual ProviderKelsey WeatherholtSpeech-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 Weatherholt 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 3 days ago.Profile DetailsProvider ID1245871284Provider TypeIndividualFull NameWeatherholt, KelseyGenderFemaleSole ProprietorNoEnumeration Date10/1/2019Last Updated10/1/2019Contact InformationPractice LocationPractice Address5606 S 147th St, Omaha, NE 68137-2647Phone(402) 715-8200FaxUnlisted FaxMailing LocationMailing Address5606 S 147th St, Omaha, NE 68137-2647PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense2362Nebraska