Individual
MR. KYLE T GINNATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7100 WEST CENTER RD, OMAHA, NE 68106-2714
(402) 506-9000
(402) 506-9093
Mailing address
7100 WEST CENTER RD, OMAHA, NE 68106-2714
(402) 506-9000
(402) 506-9093
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3072
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10028941404
—
NE
Enumeration date
07/28/2022
Last updated
07/23/2026
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