Shelby K Hackett

NPI #1992203046 in Omaha, Nebraska

Provider Information

NPI Number: 1992203046
Entity Type: Individual
Name: Shelby K Hackett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jan 24, 2018
Last Updated: Jan 24, 2018

Practice Location

Address: EMILE @ 42ND ST
City: Omaha
State: Nebraska
ZIP Code: 68198-0001
Phone: (402) 559-0692

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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