Individual
KELLIE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6980
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6980
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61186904
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2019
Last updated
02/25/2026
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