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Individual
DR. KIMBERLY R LARSEN
Active
Individual
DR. KIMBERLY R LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS DC RD
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
7109
AZ
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7764321
AETNA
AZ
01
—
AZ0156830
BC/BS
AZ
Enumeration date
05/03/2006
Last updated
09/11/2025
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