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Contact Information

KENNETH SHUM, DO
715 N SAINT JOSEPH AVE
HASTINGS, NE68901-4451
 Phone: 402-463-4521
 Fax: 402-460-5412
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KENNETH SHUM · (Male)

NPI # 1013456474
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 02/18/2017
Last updated 07/10/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 2211
Hospital affiliation(s)
  • MARY LANNING MEMORIAL HOSPITAL - (Acute Care)
    715 N ST JOSEPH AVE
    HASTINGS, NE 68901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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