Individual
KYLE KLUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
12660 Q ST, OMAHA, NE 68137-3332
(402) 896-3300
(402) 896-5931
Mailing address
12660 Q ST, OMAHA, NE 68137-3332
(402) 896-3300
(402) 896-5931
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
030.0133922-EMGY
VT
152W00000X
Optometrist
Primary
1561
NE
Other
Enumeration date
05/13/2020
Last updated
04/04/2024
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