Larsen, Kim M.

Larsen, Kim M. is an individual health care provider with primary practice located at 201 16Th Ave E , Seattle WA 98112-5226. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Larsen, Kim M. can be contacted via phone (206) 326-3000.

Contact Information

Primary practice address
201 16Th Ave E Seattle WA 98112-5226
Fax: (206) 326-2785
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN00101261 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP30005016 Washington

Profile Details

NPI number 1992768568
LBN Legal business name Larsen, Kim M.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Mar 29th, 2021 - about 3 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 1992768568 NPPES
Washington MEDICAID 9624594

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