Individual
KYLE JAMES LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-5700
(605) 755-5766
Mailing address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-5700
(605) 755-5766
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11595
SD
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
11595
SD
Other
Enumeration date
02/22/2010
Last updated
07/16/2024
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