Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Kelso

Individual provider Adult Companion · NPI 1508789629

Ethan Kelso is an Adult Companion in Bellevue, Nebraska. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

209 Galvin Rd N
Bellevue, NE 68005-4852
Phone: (402) 933-0680
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Companion (primary) Taxonomy 372600000X

Record details

NPI number1508789629
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 4, 2026
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026
Mailing addressPo Box 939, Bellevue, NE 68005-0939

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