Provider Demographics
NPI:1679458582
Name:LINDSEY, KEESHA KOLLETTE
Entity type:Individual
Prefix:
First Name:KEESHA
Middle Name:KOLLETTE
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4234 LARIMORE AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68111-2168
Mailing Address - Country:US
Mailing Address - Phone:402-885-5713
Mailing Address - Fax:402-885-5713
Practice Address - Street 1:4234 LARIMORE AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68111-2168
Practice Address - Country:US
Practice Address - Phone:402-885-5713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker