Individual
KEVIN T LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1250 TECH DR STE 460, NORCROSS, GA 30093-6245
(770) 638-7246
(770) 806-0991
Mailing address
1250 TECH DR STE 460, NORCROSS, GA 30093-6245
(770) 638-7246
(770) 806-0991
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR005852
GA
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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