Individual provider · Type 1 NPI

Kevin J. Larsen, DPM

Foot & Ankle Surgery Podiatrist · Grand Island, NE

NPI number 1568465300 Active

Practice location

620 N Diers Ave Ste 100
Grand Island, NE 68803-4985

Fax (308) 381-0408

Mailing address

PO Box 5020
Grand Island, NE 68802-5020

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X231 (NE)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1568465300

Kevin J. Larsen, DPM's National Provider Identifier is 1568465300, issued on May 24, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Grand Island, NE. The record was last updated on Mar 12, 2018.