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Individual
KENNETH DAVID LARSEN
Active
Individual
KENNETH DAVID LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OR MD16228
OR
207L00000X
Anesthesiology Physician
WA MD00034710
WA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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