Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John Matthew Kroll

Individual provider Developmental Disabilities Clinic/Center · NPI 1336036193

John Matthew Kroll is a Developmental Disabilities Clinic/Center in Omaha, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

9210 S 168th Avenue Cir
Omaha, NE 68136-1624
Phone: (402) 290-7916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Disabilities Clinic/Center (primary) Taxonomy 261QD1600X

Record details

NPI number1336036193
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 23, 2025
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address9210 S 168th Avenue Cir, Omaha, NE 68136-1624

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