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Contact Information

PATRICK D MOORE, DPM
3811 29TH AVE
STE3
KEARNEY, NE68845-1280
 Phone: 308-237-2621
 Fax: 308-237-2023
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for PATRICK D MOORE · (Male)

NPI Number 1558321505
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/24/2006
Last updated 12/29/2025 - About 5 months ago
Sole proprietor 1 Yes
Identifiers
  • NE License # 265
  • NE Medicaid 47082440100
  • Other 480028579 PALMETTO GBA-RRMC
Hospital affiliation(s)
  • COZAD COMMUNITY HOSPITAL - (Critical Access)
    P O BOX 108, 300 EAST 12TH ST
    COZAD, NE 69130
  • HARLAN COUNTY HEALTH SYSTEM - (Critical Access)
    P O BOX 836, 717 NORTH BROWN ST
    ALMA, NE 68920
  • PHELPS MEMORIAL HEALTH CENTER - (Critical Access)
    1215 TIBBALS ST
    HOLDREGE, NE 68949
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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