Individual
KRISTIN MICHELLE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2480 WHITE BEAR AVE N STE 104, MAPLEWOOD, MN 55109-4568
(612) 444-3247
(612) 888-9247
Mailing address
2480 WHITE BEAR AVE N STE 104, MAPLEWOOD, MN 55109-4568
(612) 444-3247
(612) 888-9247
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9474
MN
Other
Enumeration date
04/07/2006
Last updated
08/05/2025
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