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Individual

KELLI LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
5950 UNIVERSITY AVE STE 231, WEST DES MOINES, IA 50266-8233
(515) 875-9090
Mailing address
7147 VISTA DR STE 150, WEST DES MOINES, IA 50266-9317
(515) 875-9925
(515) 875-9923

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
112689
NE
363L00000X
Nurse Practitioner
Primary
H154901
IA

Other

Enumeration date
05/30/2019
Last updated
12/29/2023
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