Individual
MRS. KAYLYNN MARIE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1301 W MAIN ST, LAKE CITY, IA 51449-1585
(712) 464-3171
Mailing address
2284 ELKLAND AVE, LYTTON, IA 50561-7539
(712) 210-7388
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
164725
IA
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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