KEVIN J LARSEN, DPM, Surgery, Foot & Ankle GRAND ISLAND, NE

Contact Information

KEVIN J LARSEN, DPM

620 N DIERS AVE STE 100
GRAND ISLAND, NE 68803-4985

Phone: 308-381-0404
Fax: 308-381-0408
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

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NPI Profile & details for KEVIN J LARSEN · (Male)

NPI Number	`1568465300`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	05/24/2005
Last updated	03/12/2018 - About 8 years ago
Sole proprietor ¹	No
Identifiers	NE License # 231 NE Medicaid 47062497913 NE Other 02554 BLUE CROSS BLUE SHIELD NE Other 470624979 CHAMPUS NE Other 0152470001 DMERC CIGNA NE Other 280176 MEDICARE NE Other 480021904 RAILROAD MEDICARE
Hospital affiliation(s)	MEMORIAL HOSPITAL - (Critical Access) 1423 SEVENTH ST AURORA, NE 68818 YORK GENERAL HOSPITAL - (Critical Access) 2222 LINCOLN AVE YORK, NE 68467

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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KEVIN J LARSEN, DPM – NPI #1568465300Surgery, Foot & Ankle

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for KEVIN J LARSEN · (Male)

Reviews for KEVIN J LARSEN

KEVIN J LARSEN, DPM – NPI #1568465300
Surgery, Foot & Ankle