KELLY LARSON, MD
Family Medicine
Active
Individual
NPI: 1619022001
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 2004-00702 (NC) |
Frequently Asked Questions
NPI 1619022001 is the National Provider Identifier for KELLY LARSON, MD, a Family Medicine provider located in Canton, NC. This NPI was enumerated on January 24, 2007.
KELLY LARSON, MD practices at 55 BUCKEYE COVE RD, Canton, NC 28716.
Quick Facts
- NPI
- 1619022001
- Type
- Individual
- Enumerated
- Jan 24, 2007
- Last Updated
- Oct 3, 2012
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