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Search › Nebraska › 208100000X

Kyle Jisa, MD

NPI 1891285581 · on the registry since 2018 · sole proprietor

Practice

Address
2525 S 135th Ave
Omaha, NE 68144
Phone
(702) 899-0595
Fax
(702) 977-1496
Organisation at this address
Omaha Two Opco Llc
Banyan At Montclair Llc
Montclair Rehabilitation
Montclair Healthcare Llc
Mobile Dental Care Of Nebraska Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
32

Registry record

Primary taxonomy
208100000X
208100000X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska