Dicke, Kayla M

Dicke, Kayla M is an individual health care provider with primary practice located at 4508 38Th St Suite #152, Columbus NE 68601-1668. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Allopathic & Osteopathic Physicians / Otolaryngology. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Dicke, Kayla M can be contacted via phone (402) 563-4500.

Contact Information

Primary practice address
4508 38Th St Suite #152 Columbus NE 68601-1668
Phone: (402) 563-4500
Fax: (402) 563-3520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1377 Nebraska
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 1377 Nebraska

Profile Details

NPI number 1801064878
LBN Legal business name Dicke, Kayla M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2008
Last updated Apr 4th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801064878 NPPES
Nebraska MEDICAID 10025979300
Nebraska Other 37454
Nebraska MEDICAID 1538141593
Nebraska Other 061181648-68601-A004
Nebraska Other 255449

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