KEARNEY UROLOGY CENTER P.C. NPI 1710087036

NPI Information

NPI: 1710087036
Provider Name: KEARNEY UROLOGY CENTER P.C.
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 28D0455921

Address:
123 W 31ST ST
KEARNEY, NE
ZIP 68847
Phone: (308) 237-7719
Get Directions

KEARNEY UROLOGY CENTER P.C. is an urology in Kearney, NE. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. KEARNEY UROLOGY CENTER P.C. NPI is 1710087036. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

123 W 31ST ST
KEARNEY, NE
ZIP 68847-916
Phone: (308) 237-7719
Fax: (308) 236-6975

The provider's authorized official is Earl K. Larson .
The authorized official title is President and has the following contact phone number (308) 237-7719.

The CLIA number assigned to this NPI record is 28D0455921 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/25/2006 and was last updated on 2/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208800000X	Urology				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01500	OTHER	NEBRASKA	LAROY WILLIAMS-BCBS ID
2	6266	OTHER	NEBRASKA	S.F. HOWE-MIDLANDS ID
3	13026	OTHER	NEBRASKA	L.E. WILLIAMS-MIDLANDS ID
4	1671	OTHER	NEBRASKA	DR. E.K. LARSON-BCBS ID
5	100120100A	MEDICAID	KANSAS
6	098374	MEDICARE ID-TYPE UNSPECIFIED	NEBRASKA	KEARNEY UROLOGY CENTER
7	6267	OTHER	NEBRASKA	E.K. LARSON-MIDLANDS ID
8	=========	OTHER	NEBRASKA	TAX ID NUMBER
9	G04957	MEDICARE UPIN	NEBRASKA
10	=========13	MEDICAID	NEBRASKA
11	G21364	MEDICARE UPIN	NEBRASKA
12	30621	OTHER	NEBRASKA	DR. S.F. HOWE-BCBS ID
13	D05087	MEDICARE UPIN	NEBRASKA
14	100356430A	MEDICAID	KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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