person
Kellie D Larson, PA-C
Medical Physician Assistant in Lincoln, Nebraska
NPI 1962489914

Kellie D Larson is a Medical Physician Assistant based in Lincoln, NE and is specialized in Medical. Kellie D Larson practices in Lincoln, NE and has the professional credentials of PA-C. The NPI Number for Kellie D Larson is 1962489914 and holds a License No. 737 (Nebraska).

The current practice location address for Kellie D Larson is 8201 Northwoods Dr, Lincoln, NE and can be reached out via phone at 402-465-5600 and via fax at 402-327-6017.

Location: 8201 Northwoods Dr, Lincoln, NE, 68505-3092
person
Provider Profile Details
NPI Number
1962489914
Provider Name
Kellie D Larson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
8201 Northwoods Dr, Lincoln, NE, 68505-3092
Phone Number
402-465-5600
Fax Number
402-327-6017
Provider Enumeration Date
12/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10025151600 05 NE
47079049100 05 NE
10026368300 05 NE
47079049112 05 NE
institution
Provider Business Practice Location Address Details
Address
8201 Northwoods Dr
City
State
Zip
68505-3092
Phone Number
402-465-5600
Fax Number
402-327-6017
person
Provider Business Mailing Address Details
Address
8201 Northwoods Dr
City
State
Zip
68505-3092
Phone Number
402-465-5600
Fax Number
402-327-6017
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
737 (Nebraska)
Definition
Definition to come...
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