Individual
PAULA K LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 ASHLAND DR STE G1, ASHLAND, KY 41101-7084
(606) 408-4900
(606) 408-6643
Mailing address
2201 LEXINGTON AVE, ASHLAND, KY 41101-2843
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33627
KY
207R00000X
Internal Medicine Physician
35077269
OH
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
33627
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2056019
—
OH
05
—
64336274
—
KY
Enumeration date
06/21/2006
Last updated
03/07/2024
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