Individual
MR. KYLE THOMAS GINNATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1336 W A ST, LINCOLN, NE 68522-1231
(402) 438-0101
Mailing address
6800 ASHBROOK DR # 306, LINCOLN, NE 68516-3442
(402) 680-2190
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3072
NE
Other
Enumeration date
07/28/2022
Last updated
10/31/2024
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