Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KELLICE LAJUAN ANDERSON
Active Sole ProprietorAdult Companion · OMAHA, NE
Registration Details
- NPI Number
- 1366397614
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 2, 2026 (0.13874078789054 yrs)
- Last Updated
- Mar 2, 2026
- Sole Proprietor
- Yes
Practice Information
- Address
-
2564 MARCY ST APT 5OMAHA, NE, 681051671Browse NE providers · Browse ZIP 68105
- Phone
- 4022080706
- Primary Specialty
-
Adult Companion
372600000X
Other Adult Companion Providers in OMAHA, NE
| Name | Credential | NPI |
|---|---|---|
| DANIELLE KESSLER | — | 1457573370 |
| MELISSA RAGLAND | — | 1528308434 |
| DEBBRA RANKIN | — | 1851816748 |
| JENNIFER ELIZABETH POTTER | — | 1639819907 |
| AUTUMN R LIGHTNER | — | 1366268708 |
| MS. NATALIE ELLIS | — | 1760298145 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.