Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 19819 | NE |
NPI | 1588604987 |
---|---|
Provider Name | Dr. Keith Patrick Hughes |
First Address | Lincoln, NE 68512-3730 |
Second Address | Lincoln, NE 68512-3730 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 19/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
32001870900 | (05) | NE |
G67566 | (02) | NE |