Individual
KENNETH WAYTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4265 MAPLE ST, OMAHA, NE 68111-3466
(531) 999-4440
Mailing address
1299 FARNAM ST, OMAHA, NE 68102-1880
(531) 999-4440
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
NE
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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