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Organization
ANKLE & FOOT CLINIC PC
Active
Organization
ANKLE & FOOT CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT R DINUCCI DPM (PRESIDENT)
(402) 331-0221
Entity
Organization
Contact information
Practice address
8625 Q ST, OMAHA, NE 68127-3673
(402) 331-0221
(402) 331-9903
Mailing address
8625 Q ST, OMAHA, NE 68127-3673
(402) 331-0221
(402) 331-9903
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
300
NE
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025339700
—
NE
Enumeration date
05/03/2007
Last updated
07/27/2021
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