Healthcare Provider Details

I. General information

NPI: 1881531234
Provider Name (Legal Business Name): KLO KNYAW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6060 PARK LANE DR
OMAHA NE
68104-1657
US

IV. Provider business mailing address

6060 PARK LANE DR
OMAHA NE
68104-1657
US

V. Phone/Fax

Practice location:
  • Phone: 531-242-1829
  • Fax:
Mailing address:
  • Phone: 531-242-1829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: