Individual
KIM M. LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
(206) 326-2785
Mailing address
2043 N 78TH ST, SEATTLE, WA 98103
(206) 234-8169
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00101261
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30005016
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9624594
—
WA
Enumeration date
04/06/2006
Last updated
03/29/2021
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