Individual ProviderKelly NguyenStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address4400 Emile St, Omaha, NE 68198-0600(402) 559-4000PECOS EnrollmentBased on the most recent information from CMS, provider Kelly Nguyen 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 ID1881583144Provider TypeIndividualFull NameNguyen, KellyGenderFemaleSole ProprietorNoEnumeration Date7/1/2025Last Updated7/1/2025Contact InformationPractice LocationPractice Address4400 Emile St, Omaha, NE 68198-0600Phone(402) 559-4000FaxUnlisted FaxMailing LocationMailing Address4400 Emile St, Omaha, NE 68198-0600Phone(402) 559-4000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerNebraska