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Contact Information

KODY A MOFFATT, MD
20502 ROOSEVELT ST
ELKHORN, NE68022-4148
 Phone: 402-955-7529
 Fax: 402-955-6529
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KODY A MOFFATT · (Male)

NPI Number 1124139043
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2006
Last updated 11/25/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • NE License # 21839
Hospital affiliation(s) Not Available
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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