Steven John Bennett, D.P.M.

Individual provider Active NPI Foot Surgery Podiatrist · Kearney, NE

NPI 1487620548 · NPPES record last updated Oct 7, 2008

Key facts

NPI
1487620548
Entity type
Individual (NPI type 1)
Primary specialty
Foot Surgery Podiatrist 213ES0131X
License
E1948 (NE)
Practice address
3804 Central Ave
Kearney, NE 68847-8134
Phone
(308) 234-4516
Fax
(308) 234-4518
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
E1948NEMDFoot Surgery Podiatrist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X E1948 NE Yes

Addresses

Primary practice location

3804 Central Ave
Kearney, NE 68847-8134

Mailing address

2400 W 43Rd Street PL
Kearney, NE 68845-1219
Phone (308) 234-4516

Other providers in Kearney, NE

All providers in Kearney, NE · Foot Surgery Podiatrist in Nebraska

Sources for this page

Verify at the official NPI Registry.