Larson, Kimberly D.

Larson, Kimberly D. is an individual health care provider with primary practice located at 3170 State St , Medford OR 97504-8450. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Larson, Kimberly D. can be contacted via phone (541) 864-8900.

Contact Information

Primary practice address
3170 State St Medford OR 97504-8450
Phone: (541) 864-8900
Fax: (541) 245-3315
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 200250159NP Oregon

Profile Details

NPI number 1972545978
LBN Legal business name Larson, Kimberly D.
Credentials WHCNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Dec 27th, 2011 - about 15 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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