Individual
KAYLA M DICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
4508 38TH ST, SUITE #152, COLUMBUS, NE 68601-1668
(402) 563-4500
(402) 563-3520
Mailing address
PO BOX 1800, COLUMBUS, NE 68602-1800
(402) 563-4500
(402) 562-3378
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
1377
NE
363AS0400X
Surgical Physician Assistant
Primary
1377
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061181648-68601-A004
TRIWEST
NE
05
—
10025979300
—
NE
05
—
1538141593
—
NE
01
—
255449
MIDLANDS CHOICE PPO
NE
01
—
37454
BLUE CROSS OF NEBRASKA
NE
Enumeration date
02/13/2008
Last updated
01/28/2026
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