Individual
MRS. KARI COZETTE MOORE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-27102
KS
208000000X
Pediatrics Physician
Primary
2006033350
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2086969801
—
KS
Enumeration date
12/13/2006
Last updated
12/02/2015
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