Individual
KYLE CAMERON LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
295 S CHIPETA WAY RM 2S010, SALT LAKE CITY, UT 84108-1287
(801) 581-2121
Mailing address
295 S CHIPETA WAY RM 2S010, SALT LAKE CITY, UT 84108-1287
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14239367-1205
UT
Other
Enumeration date
03/20/2024
Last updated
09/16/2025
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