Individual
KENNETH SHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
715 N SAINT JOSEPH AVE, HASTINGS, NE 68901-4451
(402) 463-4521
(402) 460-5412
Mailing address
715 N SAINT JOSEPH AVE, HASTINGS, NE 68901-4451
(402) 463-4521
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2211
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/18/2017
Last updated
07/10/2020
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