Individual
KENNETH ROBERT LARSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 736-4289
Mailing address
382 GRINDSTONE HILL RD, NORTH STONINGTON, CT 06359-1106
(860) 599-1871
(860) 599-6071
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
273
CT
207P00000X
Emergency Medicine Physician
Primary
490
RI
Other
Enumeration date
12/31/2005
Last updated
07/08/2007
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