KEVIN K WYCOFF MD NPI 1255440319

NPI Information

  • NPI: 1255440319
  • Provider Name: KEVIN K WYCOFF, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 1021 W 14TH ST
    HASTINGS, NE
    ZIP 68901
  • Phone: (402) 462-8456

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NPI Details

Kevin K Wycoff, MD is a family medicine in Hastings, NE. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Kevin K Wycoff, MD NPI is 1255440319. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1021 W 14TH ST
HASTINGS, NE
ZIP 68901-046
Phone: (402) 462-8456
Fax: (402) 463-9697

The enumeration date for this NPI number is 8/30/2006 and was last updated on 1/23/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine13772NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102711OTHERNEBRASKANEBRASKA BCBS
2010037608OTHERNEBRASKAMEDICARE RAILROAD
3B67729MEDICARE UPIN
4087488MEDICARE ID-TYPE UNSPECIFIEDNEBRASKAMEDICARE
50311840001MEDICARE NSCNEBRASKA
647061821913MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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