Kenneth Robert Larsen D.O

NPI 1003894940 - Emergency Medicine - 207P00000X

NPI Details
NPI 1003894940
Gender Male
Enumeration Date 12/31/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
455 TOLL GATE RD
WARWICK RI, 02886-2759, US
Phone (401) 736-4289
Fax
Business Location
382 GRINDSTONE HILL RD
NORTH STONINGTON CT, 06359-1106, US
Phone (860) 599-1871
Fax (860) 599-6071
Toxanomy
Taxonomy Code 207P00000X
License State Connecticut
License Number 273
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According to our database, Kenneth Robert Larsen D.O NPI is 1003894940, taxonomy code is 207P00000X and license number is 273, license state is located at Connecticut. Kenneth Robert Larsen D.O physically located at 455 Toll Gate Rd, Warwick RI, 02886-2759. NPI Number Kenneth Robert Larsen D.O has the Individual type.

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1003894940 NPI number is provided on an as is basis without warranty of any kind. 1003894940 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Robert Larsen D.O are for informational purposes only.