Individual
DR. KYLE JOHN NIEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1104 S 76TH AVE STE 2, OMAHA, NE 68124-1559
(402) 955-2020
Mailing address
3005 N 161ST AVE, OMAHA, NE 68116-6414
(402) 212-7710
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1585
NE
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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