Individual
DR. RYAN KIRK SEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 N 129TH ST, OMAHA, NE 68154-6109
(402) 397-0670
(402) 397-0713
Mailing address
720 N 129TH ST, OMAHA, NE 68154-6109
(402) 397-0670
(402) 397-0713
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25702
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47056003300
—
NE
Enumeration date
03/29/2007
Last updated
01/20/2016
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