Individual
KYLE JACOB HARBISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8303 DODGE ST, OMAHA, NE 68114-4199
(402) 354-4000
Mailing address
1301 S 52ND ST, OMAHA, NE 68106-2301
(402) 595-0545
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
89821
NE
Other
Enumeration date
08/23/2025
Last updated
08/23/2025
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