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

Mr. Kellice Lajuan Anderson

Individual provider Adult Companion · NPI 1366397614

Mr. Kellice Lajuan Anderson is an Adult Companion in Omaha, Nebraska. Practices as a sole proprietor. Licensed in Nebraska.

Licensed in
NE
In the registry since
2026
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2564 Marcy St Apt 5
Omaha, NE 68105-1671
Phone: (402) 208-0706
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Adult Companion (primary) Taxonomy 372600000X (NE)

Record details

NPI number1366397614
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 2, 2026
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026

Other providers in Omaha