Kimberly C Larson in Tacoma - Physician Assistant

Kimberly C Larson - NPI 1215903752

Kimberly C Larson is a Physician Assistant in Tacoma, Washington. Kimberly C Larson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kimberly C Larson is 1215903752. The last update date is 2021-04-26.

Kimberly C Larson's current location address is 2420 S Union, Tacoma, Washington. You can contact this provider via phone number 2537560888 and fax number 2537521704. The mailing address for Kimberly C Larson is 2420 S Union, Tacoma, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Kimberly C Larson
Address 2420 S Union, Tacoma, Washington
Phone Number 2537560888
Fax Number 2537521704
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1215903752
Provider Enumeration Date 2006-02-24
Last Updated Date 2021-04-26

Provider Mailing Address Detail

Address 2420 S Union
City Tacoma
State Washington (WA)
Post Code 984051387
Phone Number 2537560888
Fax Number 2537521704

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA10004275
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
256770 WA STATE L&I
256322 WA STATE L&I

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FAQs about Kimberly C Larson

What is the unique identifier code issued to Kimberly C Larson by the Centers for Medicare & Medicaid Services (CMS)?

The Kimberly C Larson has been assigned the NPI (National Provider Identifier) 1215903752. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Kimberly C Larson located?

The Kimberly C Larson is located at 2420 S Union, Tacoma, WA 984051387.

What is Kimberly C 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 Kimberly C Larson is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

On what date was the 1215903752 assigned to Kimberly C Larson?

The Kimberly C Larson was issued its 1215903752 on 2006-02-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Kimberly C Larson most recently updated?

The details pertaining to the Kimberly C Larson, including its address, specialty, and other relevant information, were last refreshed on 2021-04-26.

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