Kenneth W. Larson in Springfield - Trauma Surgery
Kenneth W. Larson - NPI 1689741795
Kenneth W. Larson is a Trauma Surgery in Springfield, Missouri. Kenneth W. Larson practices all healthcare services and medical treatments related to Trauma Surgery. The NPI Number for Kenneth W. Larson is 1689741795. The last update date is 2013-05-02.
Kenneth W. Larson's current location address is Po Box 2580, Springfield, Missouri. You can contact this provider via phone number 4178294620. The mailing address for Kenneth W. Larson is Po Box 2580, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth W. Larson |
|---|---|
| Address | Po Box 2580, Springfield, Missouri |
| Phone Number | 4178294620 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1689741795 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2013-05-02 |
Provider Mailing Address Detail
| Address | Po Box 2580 |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658012580 |
| Phone Number | 4178294620 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Trauma Surgery |
|---|---|
| Taxonomy | 2086S0127X |
| Licence No | 105284 |
|
Definition: Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, ty |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 207672502 | MO | -- | |
| 431560263 | MO | TRICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth W. Larson by the Centers for Medicare & Medicaid Services (CMS)?
The Kenneth W. Larson has been assigned the NPI (National Provider Identifier) 1689741795. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Kenneth W. Larson?
The Kenneth W. Larson is situated at Po Box 2580, in the city of Springfield, state of MO, with the zip code 658012580.
What is Kenneth W. Larson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kenneth W. Larson is Trauma Surgery, and the taxonomy classification code that categorizes this area of expertise is 2086S0127X.
When did Kenneth W. Larson receive its 1689741795 assignment?
The Kenneth W. Larson was assigned its 1689741795 on 2006-11-30, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Kenneth W. Larson last refreshed?
The information related to the Kenneth W. Larson, including its address, specialty, and other relevant details, was last updated on 2013-05-02.