Organization
FOOT & ANKLE CLINIC OF CENTRAL NEBRASKA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN J LARSEN DPM (PRESIDENT)
(308) 381-0404
Entity
Organization
Contact information
Practice address
620 N DIERS AVE STE 100, GRAND ISLAND, NE 68803-4985
(308) 381-0404
(308) 381-0408
Mailing address
PO BOX 5020, GRAND ISLAND, NE 68802-5020
(308) 381-0404
(308) 381-0408
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
06/13/2006
Last updated
07/21/2022
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