Individual
DR. KEVIN LARKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 N 500 W STE 121 BLDG C, BLDG C, PROVO, UT 84604
(801) 373-7350
(801) 812-5401
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
12773264-1205
UT
207X00000X
Orthopaedic Surgery Physician
R75475
AZ
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
0116035009
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
02/11/2015
Last updated
11/04/2022
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