Individual
KILEY RAE PUGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-6300
(402) 955-6330
Mailing address
PO BOX 24607, OMAHA, NE 68124-0607
(402) 955-5400
(402) 955-3674
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2911
NE
363AS0400X
Surgical Physician Assistant
2911
NE
Other
Enumeration date
03/13/2023
Last updated
12/15/2025
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