Healthcare Provider Details

I. General information

NPI: 1144740341
Provider Name (Legal Business Name): LARKIN FOOT AND ANKLE INSTITUTE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2017
Last Update Date: 09/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3221 E WARM SPRINGS RD
LASVEGAS NV
89120
US

IV. Provider business mailing address

3221 E. WARM SPRINGS RD
LASVEGAS NV
89120
US

V. Phone/Fax

Practice location:
  • Phone: 702-733-7617
  • Fax: 702-733-1732
Mailing address:
  • Phone: 702-733-7617
  • Fax: 702-733-1732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number1206
License Number StateNV

VIII. Authorized Official

Name: KIRK D LARKIN
Title or Position: DOCTOR/OWNER
Credential: DPM
Phone: 702-733-7617