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Contact Information

WILLIAM J WYATT, MD
505 S BURG ST
KIMBALL, NE69145-1313
 Phone: 308-235-1951
 Fax: 308-235-1954
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for WILLIAM J WYATT · (Male)

NPI # 1184728537
Status Active
Credentials MD
Entity Individual
Enumeration date 09/07/2006
Last updated 02/18/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 20963
  • WY License # 6212A
  • WY Medicaid 113999100
  • WY Other 102753300 WORKERS COMP
Hospital affiliation(s)
  • KIMBALL HEALTH SERVICES - (Critical Access)
    505 SOUTH BURG ST
    KIMBALL, NE 69145
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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