Individual
DR. KAYLYNNE M GASIOROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
5331 S 204TH AVE STE 2, ELKHORN, NE 68022-4385
(531) 867-3720
Mailing address
2517 S 174TH PLZ, OMAHA, NE 68130-2361
(402) 578-5133
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038-010774
IL
111N00000X
Chiropractor
Primary
1426
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1636348
BLUE CROSS ID #
IL
01
—
K34137
MEDICARE #
IL
Enumeration date
10/05/2006
Last updated
04/28/2023
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