IndividualActive
John Kroll
NPI 1336036193 · Developmental Disabilities Clinic/Center · Omaha, NE
Provider details
- NPI number
- 1336036193
- Entity type
- Individual
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
9210 S 168th Avenue Cir
Omaha, NE 68136-1624
Phone: (402) 290-7916
Approximate (ZIP-level) locationGet directions
Mailing address
9210 S 168th Avenue Cir
Omaha, NE 68136-1624
Registry dates
- Enumerated
- 2025-06-23
- Last updated
- 2025-06-23
- Certified
- 2025-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.