person
Kevin J Larsen, DPM
Foot & Ankle Surgery Podiatrist in Grand Island, Nebraska
NPI 1568465300

Kevin J Larsen is a Foot & Ankle Surgery Podiatrist based in Grand Island, NE and is specialized in Foot & Ankle Surgery. Kevin J Larsen practices in Grand Island, NE and has the professional credentials of DPM. The NPI Number for Kevin J Larsen is 1568465300 and holds a License No. 231 (Nebraska).

The current practice location address for Kevin J Larsen is 620 N Diers Ave Ste 100, Grand Island, NE and can be reached out via phone at 308-381-0404 and via fax at 308-381-0408. You can also correspond with Kevin J Larsen through the mailing address at PO BOX 5020, GRAND ISLAND, NE - 68802-5020 (mailing address contact number: 308-381-0404).

Location: 620 N Diers Ave Ste 100, Grand Island, NE, 68802-5020
person
Provider Profile Details
NPI Number
1568465300
Provider Name
Kevin J Larsen
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
620 N Diers Ave Ste 100, Grand Island, NE, 68802-5020
Phone Number
308-381-0404
Fax Number
308-381-0408
Provider Enumeration Date
05/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
280176 01 NE MEDICARE
02554 01 NE BLUE CROSS BLUE SHIELD
0152470001 01 NE DMERC CIGNA
470624979 01 NE CHAMPUS
480021904 01 NE RAILROAD MEDICARE
47062497913 05 NE
institution
Provider Business Practice Location Address Details
Address
620 N Diers Ave Ste 100
City
State
Zip
68803-4985
Phone Number
308-381-0404
Fax Number
308-381-0408
person
Provider Business Mailing Address Details
Address
Po Box 5020
City
State
Zip
68802-5020
Phone Number
308-381-0404
Fax Number
308-381-0408
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
231 (Nebraska)
Definition
Definition to come...

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