Individual provider · Type 1 NPI

Keith De Fini, PA-C

Surgical Physician Assistant · Omaha, NE

NPI number 1629182068 Active

Practice location

8005 Farnam Dr Ste 305
Omaha, NE 68114-3426

Call (402) 390-4111 Map

Fax (402) 390-4115

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1085 (NE)
Physician Assistant 363A00000X1085 (NE)

Surgical Physician Assistant: Definition to come...

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About NPI 1629182068

Keith De Fini, PA-C's National Provider Identifier is 1629182068, issued on Aug 19, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Omaha, NE. The record was last updated on Oct 30, 2025.