Larson, Kaitlin Michele
Larson, Kaitlin Michele is an individual health care provider with primary practice located at 1012 E 2Nd St , Duluth MN 55805-2200. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Larson, Kaitlin Michele can be contacted via phone (218) 249-2450.Contact Information
Primary practice address
1012 E 2Nd St
Duluth MN 55805-2200
Phone: (218) 249-2450
Fax: (218) 249-2451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10964 | Minnesota |
Profile Details
| NPI number | 1821377805 |
|---|---|
| LBN Legal business name | Larson, Kaitlin Michele |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2011 |
| Last updated | Dec 18th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821377805 | NPPES |
| Minnesota | Other | 10964 | MN LICENSE |
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