Kimberly S Larson is a Family in Brentwood, Tennessee. Kimberly S Larson practices all healthcare services and medical treatments related to Family. The NPI Number for Kimberly S Larson is 1982614723. The last update date is 2016-10-04.
Kimberly S Larson's current location address is 1573 Mallory Ln, Brentwood, Tennessee. You can contact this provider via phone number 6152213855 and fax number 6152211484. The mailing address for Kimberly S Larson is 1573 Mallory Ln, Brentwood, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly S Larson |
|---|---|
| Address | 1573 Mallory Ln, Brentwood, Tennessee |
| Phone Number | 6152213855 |
| Fax Number | 6152211484 |
| Sole Proprietor | Y |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1982614723 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2016-10-04 |
Provider Mailing Address Detail
| Address | 1573 Mallory Ln |
|---|---|
| City | Brentwood |
| State | Tennessee (TN) |
| Post Code | 370272895 |
| Phone Number | 6152213855 |
| Fax Number | 6152211484 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 363542-4405 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 120048800 | WY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kimberly S Larson by the Centers for Medicare & Medicaid Services (CMS)?
The Kimberly S Larson has been assigned the NPI (National Provider Identifier) 1982614723. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Kimberly S Larson located?
The Kimberly S Larson is located at 1573 Mallory Ln, Brentwood, TN 370272895.
What is Kimberly S Larson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kimberly S Larson's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1982614723 to Kimberly S Larson?
The Centers for Medicare & Medicaid Services assigned the 1982614723 to Kimberly S Larson on 2006-08-08.
When was the information related to Kimberly S Larson most recently updated or refreshed?
The details pertaining to the Kimberly S Larson, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-10-04.