Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 11706 | NE |
NPI | 1326275264 |
---|---|
Provider Name | Dr. Kent Rodney Eakins |
First Address | Lincoln, NE 68510-4956 |
Second Address | Lincoln, NE 68510-4956 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2009 |
Last Update Date | 18/06/2009 |