Provider Demographics
NPI:1316817174
Name:KECK, ALLYSON C
Entity type:Individual
Prefix:
First Name:ALLYSON
Middle Name:C
Last Name:KECK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALLYSON
Other - Middle Name:
Other - Last Name:MARSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7501 S 198TH ST
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:NE
Mailing Address - Zip Code:68028-4948
Mailing Address - Country:US
Mailing Address - Phone:402-253-7894
Mailing Address - Fax:
Practice Address - Street 1:7501 S 198TH ST
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:NE
Practice Address - Zip Code:68028-4948
Practice Address - Country:US
Practice Address - Phone:402-253-7894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-07
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant