Individual
KYAE SOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6214 N 104TH ST, OMAHA, NE 68134-1012
(402) 999-3475
Mailing address
6214 N 104TH ST, OMAHA, NE 68134-1012
(402) 999-3475
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/28/2025
Last updated
06/28/2025
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