IndividualActive
Kody Moffatt, M.D.
NPI 1124139043 · Pediatric Sports Medicine Physician · Elkhorn, NE
Provider details
- NPI number
- 1124139043
- Entity type
- Individual
- Primary specialty
- Pediatric Sports Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 21839 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
20502 Roosevelt St
Elkhorn, NE 68022-4148
Phone: (402) 955-7529
Fax: (402) 955-6529
Approximate (ZIP-level) locationGet directions
Mailing address
2500 California Plz
Omaha, NE 68178-0001
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2025-11-25
- Certified
- 2025-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.