KYLE ANDREW JISA

LINCOLN, NE
NPI1891285581
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: NE  34621)
Enumeration Date2018-05-17
Last Update Date2022-10-21
Business Address
KYLE ANDREW JISA MD
3201 SOUTH ST
LINCOLN, NE 68502
Phone number: 402-413-8575
Mailing Address
KYLE ANDREW JISA MD
3201 SOUTH ST #174
LINCOLN, NE 68502
Phone number: 402-413-8575