Healthcare Provider Details

I. General information

NPI: 1851680847
Provider Name (Legal Business Name): DR. KELSEY ELISABETH LARSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KELSEY ELISABETH ROHLCK

II. Dates (important events)

Enumeration Date: 03/31/2011
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2650 SHAWNEE MISSION PKWY
WESTWOOD KS
66205-2003
US

IV. Provider business mailing address

10740 NALL AVE STE 410
OVERLAND PARK KS
66211-1367
US

V. Phone/Fax

Practice location:
  • Phone: 913-945-9400
  • Fax: 913-945-9410
Mailing address:
  • Phone: 913-945-9400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number0440109
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: