Individual
KAYLA MARIE WARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
550 N 19TH ST, LINCOLN, NE 68588-0046
(402) 472-7411
(402) 472-4593
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1974
NE
363AM0700X
Medical Physician Assistant
1974
NE
Other
Enumeration date
01/25/2016
Last updated
09/20/2024
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