Individual provider · Type 1 NPI
Kellie Lynn Potter
Child Intellectual and/or Developmental Disabilities Respite Care · Bellevue, NE
NPI number
1942199641
Active
Practice location
1211 Prairie Ave
Bellevue, NE 68005-4211
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care Primary | 385HR2060X | None listed |
Child Intellectual and/or Developmental Disabilities Respite Care: A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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About NPI 1942199641
Kellie Lynn Potter's National Provider Identifier is 1942199641, issued on Jun 30, 2025. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Bellevue, NE. The record was last updated on Jun 30, 2025.