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Mrs. Kathleen Larson, PA-C
Medical Physician Assistant in Garrison, North Dakota
NPI 1912987843

Kathleen Larson is a Medical Physician Assistant based in Garrison, ND and is specialized in Medical. Kathleen Larson practices in Garrison, ND and has the professional credentials of PA-C. The NPI Number for Kathleen Larson is 1912987843 and holds a License No. PAC0139 (North Dakota).

The current practice location address for Kathleen Larson is 437 3Rd Ave Se, Garrison, ND and can be reached out via phone at 701-463-2245 and via fax at 701-463-6543.

Location: 437 3Rd Ave Se, Garrison, ND, 58540-0009
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Provider Profile Details
NPI Number
1912987843
Provider Name
Kathleen Larson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
437 3Rd Ave Se, Garrison, ND, 58540-0009
Phone Number
701-463-2245
Fax Number
701-463-6543
Provider Enumeration Date
01/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13123 01 ND BLUE CROSS/BLUE SHIELD
13077 05 ND
institution
Provider Business Practice Location Address Details
Address
437 3Rd Ave Se
City
State
Zip
58540-7235
Phone Number
701-463-2245
Fax Number
701-463-6543
person
Provider Business Mailing Address Details
Address
437 3Rd Ave Se
City
State
Zip
58540-7235
Phone Number
701-463-2245
Fax Number
701-463-6543
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PAC0139 (North Dakota)
Definition
Definition to come...
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