Individual
KODY A MOFFATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20502 ROOSEVELT ST, ELKHORN, NE 68022-4148
(402) 955-7529
(402) 955-6529
Mailing address
2500 CALIFORNIA PLZ, OMAHA, NE 68178-0001
Taxonomy
Speciality
Code
Description
License number
State
2080S0010X
Pediatric Sports Medicine Physician
Primary
21839
NE
Other
Enumeration date
08/31/2006
Last updated
11/25/2025
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