KYLE ANDREW JISA

OMAHA, NE
NPI1891285581
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: NE  34621)
Enumeration Date2018-05-17
Last Update Date2025-10-02
Business Address
KYLE ANDREW JISA MD
2525 S 135TH AVE
OMAHA, NE 68144-2424
Phone number: 702-899-0595
Mailing Address
KYLE ANDREW JISA MD
PO BOX 74008272
CHICAGO, IL 60674-8272
Phone number: 702-899-0595
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