Kenneth W. Larson, MD

Surgery Physician · Springfield, MO

Individual Active NPI

NPI number 1689741795

Practice location

1900 S National Ave
Suite 1950
Springfield, MO 65804-2265
Phone
(417) 820-7250
Fax
(417) 820-7255

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NPI record

NPI
1689741795
Entity type
Individual (Type 1)
Enumeration date
November 30, 2006
Last updated
May 2, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 105284 MO
Trauma Surgery Physician 2086S0127X 105284 MO

Mailing address

PO Box 2580
Springfield, MO 65801-2580
Phone
(417) 829-4620

About Dr. Larson

Kenneth W. Larson, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 1900 S National Ave, Suite 1950, Springfield, MO 65804-2265. The NPI number 1689741795 was assigned on November 30, 2006 and the record was last updated on May 2, 2013.

Dr. Larson lists 2 licenses in the registry: #105284 (MO) for Surgery Physician; #105284 (MO) for Trauma Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kenneth W. Larson, MD?

The NPI number is 1689741795.

What is the phone number of Dr. Larson?

The phone number listed for the practice location is (417) 820-7250.

Where is Dr. Larson located?

1900 S National Ave, Suite 1950, Springfield, MO 65804-2265.

What is the taxonomy code for Dr. Larson?

The primary taxonomy code is 208600000X – Surgery Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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