Individual provider · Type 1 NPI

Kevin Lee Larose, PHYSICIAN ASSISTANT

Physician Assistant · Fort Drum, NY

NPI number 1033701719 Active

Practice location

11050 Mt Belvedere Blvd
Fort Drum, NY 13602-2603

Call (315) 772-2778 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1178786

Physician Assistant: 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1033701719

Kevin Lee Larose, PHYSICIAN ASSISTANT's National Provider Identifier is 1033701719, issued on Feb 4, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Drum, NY. The record was last updated on May 2, 2024.