Individual
DR. KATHLEEN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4325 WILLIAMS BLVD SW, CEDAR RAPIDS, IA 52404
(319) 368-8400
(319) 368-8405
Mailing address
4325 WILLIAMS BLVD SW, CEDAR RAPIDS, IA 52404-3436
(319) 368-8400
(319) 368-8405
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD-45075
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD-45075
IOWA MEDICAL LICENSE
IA
Enumeration date
05/28/2015
Last updated
07/25/2018
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