Provider Demographics
NPI:1649061516
Name:SMOQY, KHAIRI K
Entity type:Individual
Prefix:
First Name:KHAIRI
Middle Name:K
Last Name:SMOQY
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 1:3427 PORTIA ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-1776
Mailing Address - Country:US
Mailing Address - Phone:402-720-6302
Mailing Address - Fax:
Practice Address - Street 1:3427 PORTIA ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-1776
Practice Address - Country:US
Practice Address - Phone:402-720-6302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide