Individual
ANDREW JAMES LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 852-1732
Mailing address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 852-1732
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
94397
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
943973
—
SC
Enumeration date
03/31/2021
Last updated
06/11/2025
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