Individual provider · Type 1 NPI
Kyle Larson
Ambulatory Care Registered Nurse · Tomah, WI
NPI number
1689070419
Active
Practice location
1028 Berry Ave Apt 202
Tomah, WI 54660-3403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Care Registered Nurse Primary | 163WP2201X | 201824-30 (WI) |
Ambulatory Care Registered Nurse: Definition to come...
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- Danielle Jackson, BSN, RNAmbulatory Care Registered Nurse Tomah, WI NPI 1053256032
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About NPI 1689070419
Kyle Larson's National Provider Identifier is 1689070419, issued on Nov 5, 2014. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Tomah, WI. The record was last updated on Apr 20, 2026.