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NPI Code Detail

MEDICARE: KEITH HODGE

MEDICARE: KEITH HODGE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer SpecialistNV

General Provider Information

NPI Number : 1346103736
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEITH HODGE
Provider Business Mailing Address
First Line : 6110 PLUMAS ST
Second Line :
City : RENO
State : NV
Zip : 89519-6076
Country : US
Telephone Number : 775-786-6880
Fax Number :
Provider Business Practice Location Address
First Line : 6110 PLUMAS ST
Second Line :
City : RENO
State : NV
Zip : 89519-6076
Country : US
Telephone Number : 775-786-6880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/03/2025

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Directions to “ KEITH HODGE ” Practice Location

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