Larson, Kate Jean

Larson, Kate Jean is an individual health care provider with primary practice located at 200 Alton Ave Se , New Prague MN 56071-5507. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Larson, Kate Jean can be contacted via phone (952) 758-7228.

Contact Information

Primary practice address
200 Alton Ave Se New Prague MN 56071-5507
Phone: (952) 758-7228
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 11412 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 11412 Minnesota

Profile Details

NPI number 1255771622
LBN Legal business name Larson, Kate Jean
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2013
Last updated Mar 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255771622 NPPES
Minnesota Other 11412 MN STATE LICENSE

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