# ANKLE & FOOT CLINIC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982826111
- **Authorized official:** DR. KENT R DINUCCI DPM (PRESIDENT)
- **Authorized official phone:** (402) 331-0221

## Contact information

- **Practice address:** 8625 Q ST, OMAHA, NE 68127-3673
- **Practice address phone:** (402) 331-0221
- **Practice address fax:** (402) 331-9903
- **Mailing address:** 8625 Q ST, OMAHA, NE 68127-3673
- **Mailing address phone:** (402) 331-0221
- **Mailing address fax:** (402) 331-9903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | 300 | NE | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 07/27/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025339700 | — | NE |
