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
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 231 (NE) |
Foot & Ankle Surgery Podiatrist: Definition to come...
3 other providers at this address
Other foot & ankle surgery podiatrist providers in Grand Island
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.