Individual
KEVIN BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
3908 N 17TH ST, OMAHA, NE 68110-1761
(402) 498-4700
Mailing address
11550 I ST, OMAHA, NE 68137-1262
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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