Individual
KELSEY ELISABETH LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 EUCLID AVE, MAIL CODE A80, CLEVELAND, OH 44195-0001
(216) 315-0937
Mailing address
9500 EUCLID AVE, MAIL CODE A80, CLEVELAND, OH 44195-0001
(216) 315-0937
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35.128235
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2011
Last updated
08/22/2016
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