Foot & Ankle Clinic of Central Nebraska PC

NPI #1134162910 in Grand Island, Nebraska

Provider Information

NPI Number: 1134162910
Entity Type: Organization
Organization Name: Foot & Ankle Clinic of Central Nebraska PC
Primary Specialty: Podiatrist
Enumeration Date: Jun 13, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 620 N DIERS AVE STE 100
City: Grand Island
State: Nebraska
ZIP Code: 68803-4985
Phone: (308) 381-0404

Authorized Official

Name: DR. KEVIN J LARSEN, DPM
Title: PRESIDENT
Phone: (308) 381-0404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Podiatrist	213E00000X	Primary

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DR. Jonathan B Wilson, DPM	Podiatrist	Grand Island	AI Deep Dive
DR. Corey S. Blackburn, D.P.M.	Podiatrist	Grand Island	AI Deep Dive
Jonathan Michael Little, D.P.M.	Podiatrist	Papillion	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Prairie Foot & Ankle PC	Podiatrist	Grand Island	AI Deep Dive

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