Dr. William Joseph Wyatt
Surgeon Plastic Hand Surgeon Plastic and Reconstructive Surgery and 3 more
505 S Burg St
Kimball
, Nebraska 69145-1313
Dr. William Joseph Wyatt
Surgeon Plastic Hand Surgeon Plastic and Reconstructive Surgery and 3 more
505 S Burg St
Kimball
, Nebraska 69145-1313
(308) 235-1954
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About
Features
Specialties
- Surgeon
- Plastic Hand Surgeon
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. William Joseph Wyatt
- 505 S Burg St
- Kimball, NE
- Zip : 69145-1313
- Fax : (308) 235-1954
- Phone : (308) 235-1951
Second Address
- Dr. William Joseph Wyatt
- 505 S Burg St
- Kimball, NE
- Zip : 69145-1313
- Fax : (308) 235-1954
- Phone : (308) 235-1951
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 20963 | NE |
| N | 208600000X | Surgeon | 20963 | NE |
| N | 208200000X | Surgeon | 6212A | WY |
| N | 208600000X | Surgeon | 6212A | WY |
| N | 2082S0105X | Plastic Hand Surgeon | 20963 | NE |
| N | 2082S0105X | Plastic Hand Surgeon | 6212A | WY |
| N | 208200000X | Surgeon | 6212A | WY |
| N | 208600000X | Surgeon | 6212A | WY |
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 20963 | NE |
| N | 2086S0122X | Plastic and Reconstructive Surgery | 6212A | WY |
National Provider Identifier
| NPI | 1184728537 |
|---|---|
| Provider Name | Dr. William Joseph Wyatt |
| First Address | Kimball, NE 69145-1313 |
| Second Address | Kimball, NE 69145-1313 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/09/2006 |
| Last Update Date | 18/02/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 102753300 | WORKERS COMP (01) | WY |
| 113999100 | (05) | WY |
| E48364 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.