Individual
JOHN MATTHEW KROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9210 S 168TH AVENUE CIR, OMAHA, NE 68136-1624
(402) 290-7916
Mailing address
9210 S 168TH AVENUE CIR, OMAHA, NE 68136-1624
(402) 290-7916
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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