Individual
KYLE SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
18040 R PLZ, OMAHA, NE 68135-1922
(402) 408-2342
Mailing address
4222 S 147TH PLZ APT 304, OMAHA, NE 68137-5546
(308) 940-2919
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17625
NE
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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