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NPI Code Detail

MEDICARE: DR. KAMI A.K. LARSEN M.D.

MEDICARE:  DR. KAMI A.K. LARSEN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician10512NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760403455
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAMI A.K. LARSEN M.D.
Provider Business Mailing Address
First Line : 3325 RESEARCH WAY
Second Line :
City : CARSON CITY
State : NV
Zip : 89706-7913
Country : US
Telephone Number : 775-888-6610
Fax Number : 775-888-4904
Provider Business Practice Location Address
First Line : 98 E LAKE MEAD PKWY STE 103
Second Line :
City : HENDERSON
State : NV
Zip : 89015-6443
Country : US
Telephone Number : 702-868-0327
Fax Number : 702-868-0290
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 10/23/2017

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Directions to “ DR. KAMI A.K. LARSEN M.D.” Practice Location

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