Keegan Clark

ActiveIndividual ProviderSpecialty not listed
NPI issued: January 18, 2022

Quick Facts

NPI Number
1457002750
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy376K00000X — Specialty not listed
Phone
(308) 872-2982
StateNE

NPI Validation Status: Verified

Valid 10-digit NPI number (1457002750)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (January 18, 2022)
Data source: CMS NPPES

Provider Overview

KEEGAN CLARK is a Healthcare provider based in Broken Bow, NE who has been registered with CMS since 2022. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1457002750
Provider TypeIndividual Provider
GenderMale
StatusActive
Enumeration DateJanuary 18, 2022

Practice Location

CityBroken Bow
StateNE
ZIP Code68822-1262
Phone(308) 872-2982

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code376K00000X
License StateNE

Mailing Address

CityBroken Bow
StateNE
ZIP Code68822-1262
Phone(308) 872-2982
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1457002750 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1457002750for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1457002750 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
13,651
Specialty not listed Providers in the US

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Kimberly Witthuhn Stump

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People Also Ask

What is Keegan Clark's NPI number?
Keegan Clark's NPI number is 1457002750, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Keegan Clark's NPI currently active?
Yes, Keegan Clark's NPI status is Active as of the latest CMS NPPES database updates.
What does Keegan Clark specialize in?
Keegan Clark specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 376K00000X.
Where does Keegan Clark practice?
Keegan Clark practices in Broken Bow, NE 68822-1262.
When was Keegan Clark's NPI issued?
Keegan Clark's NPI was issued on January 18, 2022.
What is Keegan Clark's provider type?
Keegan Clark is registered as an Individual Provider under CMS NPI Type 1.