Larsen, John Kenyon

Larsen, John Kenyon is an individual health care provider with primary practice located at 1470 Medical Pkwy Ste 265 , Carson City NV 89703-4648. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Larsen, John Kenyon can be contacted via phone (775) 445-5464.

Contact Information

Primary practice address
1470 Medical Pkwy Ste 265 Carson City NV 89703-4648
Phone: (775) 445-5464
Fax: (775) 445-5474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110003922 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2016 Nevada

Profile Details

NPI number 1538422118
LBN Legal business name Larsen, John Kenyon
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2012
Last updated Dec 31st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538422118 NPPES
Virginia MEDICAID 1538422118

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