Individual
KIMBERLY D. LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
3170 STATE ST, MEDFORD, OR 97504-8450
(541) 864-8900
(541) 245-3315
Mailing address
128 E NEVADA ST, ASHLAND, OR 97520-1024
(541) 864-8900
(541) 245-3315
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
200250159NP
OR
Other
Enumeration date
06/12/2006
Last updated
12/27/2011
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