Larson, Kathleen

Larson, Kathleen is an individual health care provider with primary practice located at 4325 Williams Blvd Sw , Cedar Rapids IA 52404. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Larson, Kathleen can be contacted via phone (319) 368-8400.

Contact Information

Primary practice address
4325 Williams Blvd Sw Cedar Rapids IA 52404
Fax: (319) 368-8405
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD-45075 Iowa

Profile Details

NPI number 1710366349
LBN Legal business name Larson, Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2015
Last updated Jul 25th, 2018 - 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 1710366349 NPPES
Iowa Other MD-45075 IOWA MEDICAL LICENSE

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