Provider Demographics
NPI:1366320996
Name:SYKES, KEITH EDWARD
Entity type:Individual
Prefix:
First Name:KEITH
Middle Name:EDWARD
Last Name:SYKES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1035
Mailing Address - Street 2:
Mailing Address - City:GRANT
Mailing Address - State:NE
Mailing Address - Zip Code:69140-1035
Mailing Address - Country:US
Mailing Address - Phone:308-280-0099
Mailing Address - Fax:
Practice Address - Street 1:820 LOGAN AVE
Practice Address - Street 2:
Practice Address - City:GRANT
Practice Address - State:NE
Practice Address - Zip Code:69140-3065
Practice Address - Country:US
Practice Address - Phone:308-280-0099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-22
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker