Individual
MS. KAYLENE NICHOLE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CRNA
Contact information
Practice address
301 BECKER AVE SW, WILLMAR, MN 56201-3302
(320) 235-4543
Mailing address
4161 18TH AVE S APT 117, FARGO, ND 58103-7416
(701) 212-2396
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2163
MN
Other
Enumeration date
01/08/2018
Last updated
08/16/2023
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