Provider Demographics
NPI:1588604987
Name:HUGHES, KEITH PATRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:KEITH
Middle Name:PATRICK
Last Name:HUGHES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7030 HELEN WITT DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68512-3730
Mailing Address - Country:US
Mailing Address - Phone:420-420-0400
Mailing Address - Fax:402-420-0402
Practice Address - Street 1:7030 HELEN WITT DR
Practice Address - Street 2:SUITE B
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68512-3730
Practice Address - Country:US
Practice Address - Phone:420-420-0400
Practice Address - Fax:402-420-0402
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE19819207XX0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE32001870900Medicaid
NE099229Medicare ID - Type Unspecified
NE32001870900Medicaid