Individual
KIMBERLY RAQUELL LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
7211 W DESCHUTES AVE, STE D-101, KENNEWICK, WA 99336-7728
(509) 735-2126
(509) 735-2303
Mailing address
7203 W DESCHUTES AVE, KENNEWICK, WA 99336-7777
(509) 737-1880
(509) 737-1879
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30008001
WA
Other
Enumeration date
01/02/2008
Last updated
07/14/2010
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