Provider Demographics
NPI:1104707009
Name:HOYT, KEELEY RAE
Entity type:Individual
Prefix:
First Name:KEELEY
Middle Name:RAE
Last Name:HOYT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6431 S 32ND ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-4678
Mailing Address - Country:US
Mailing Address - Phone:402-477-2101
Mailing Address - Fax:
Practice Address - Street 1:5631 S 48TH ST STE 500
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-4137
Practice Address - Country:US
Practice Address - Phone:402-477-2101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion