Larson, Kayleen Raye

Larson, Kayleen Raye is an individual health care provider with primary practice located at 500 E Veterans St , Tomah WI 54660-3105. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Larson, Kayleen Raye can be contacted via phone (608) 372-1255.

Contact Information

Primary practice address
500 E Veterans St Tomah WI 54660-3105
Phone: (608) 372-1255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 12588 Wisconsin

Profile Details

NPI number 1295888220
LBN Legal business name Larson, Kayleen Raye
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2007
Last updated Jul 8th, 2007 - about 18 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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