Individual
KYLIE A ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2725 S 144TH ST STE 212, OMAHA, NE 68144-5253
(402) 637-0800
(402) 637-0808
Mailing address
2725 S 144TH ST STE 212, OMAHA, NE 68144-5253
(402) 637-0800
(402) 637-0808
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
074022
IA
363A00000X
Physician Assistant
Primary
1714
NE
Other
Enumeration date
02/04/2013
Last updated
12/31/2020
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