IndividualActive
Kylee Diercks, PA-C
NPI 1861212854 · Hematology & Oncology Physician · Omaha, NE
Provider details
- NPI number
- 1861212854
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 3155 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
505 S 45th St
Omaha, NE 68198-2002
Phone: (402) 559-5600
Approximate (ZIP-level) locationGet directions
Mailing address
505 S 45th St
Omaha, NE 68198-2002
Registry dates
- Enumerated
- 2024-10-14
- Last updated
- 2025-02-02
- Certified
- 2025-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.