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General NPI Number Information
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NPI Number | 1194354431
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Entity Type | Individual
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Provider Name | ANDREW KELDGORD DO
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Gender | Male
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Dates
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Enumeration Date | 04/08/2020
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 981045 NEBRASKA MEDICAL CENTER UNMC DEPARTMENT OF RADIOLOGY
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City | OMAHA
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State | NE
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Zip | 68198-1045
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Country | US
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Telephone | 402-559-1018
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Fax |
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Provider Business Mailing Address
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Address Line | 21303 WALNUT ST
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City | ELKHORN
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State | NE
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Zip | 68022-2288
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Country | US
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Telephone | 858-776-6514
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2484
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License Number State | NE
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