Provider Demographics
NPI:1932723749
Name:ZINDEL, KELSEY C (DNP, APRN,CPNP-AC/PC)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:C
Last Name:ZINDEL
Suffix:
Gender:F
Credentials:DNP, APRN,CPNP-AC/PC
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:C
Other - Last Name:SPACKLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 24607
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-0607
Mailing Address - Country:US
Mailing Address - Phone:402-945-5400
Mailing Address - Fax:402-955-3674
Practice Address - Street 1:8200 DODGE ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-4113
Practice Address - Country:US
Practice Address - Phone:402-955-4200
Practice Address - Fax:402-955-3262
Is Sole Proprietor?:No
Enumeration Date:2020-06-08
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2130363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner