Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth Shum, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013456474

Kenneth Shum, DO is an Emergency Medicine in Hastings, Nebraska. Qualified in 2017, 9 years ago. Practices with Alegent Creighton Clinic, a 947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
9
Licensed in
NE
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

715 N Saint Joseph Ave
Hastings, NE 68901-4451
Phone: (402) 463-4521
Fax: (402) 460-5412
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8401 Market St, Boardman, OH 44512-6725 — (330) 729-8757

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 2211 (NE)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013456474
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 18, 2017
Last updated in NPPESJuly 10, 2020
Certification dateJuly 10, 2020
Mailing address715 N Saint Joseph Ave, Hastings, NE 68901-4451

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Alegent Creighton Clinic — 947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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