Individual
CHRISTOPHER G LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD # MS 3010, KANSAS CITY, KS 66160-5941
(913) 588-6701
Mailing address
PO BOX 411851, KANSAS UNIVERSITY PHYSICIANS INC, KANSAS CITY, MO 64141-1851
(913) 588-6701
(913) 588-6677
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2002019246
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201027703
—
MO
Enumeration date
06/12/2006
Last updated
05/20/2020
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