Individual
MRS. KATELYN ELIZABETH LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 RIDGE ST, SUITE 201, COUNCIL BLUFFS, IA 51503-4643
(712) 322-5899
(712) 322-5730
Mailing address
808 EAST PIERCE STREET, COUNCIL BLUFFS, IA 51503-4652
(712) 396-4340
(712) 396-4180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/16/2012
Last updated
02/15/2022
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