Individual provider · Type 1 NPI

Kristin Michelle Larson, PAC

Physician Assistant · Maplewood, MN

NPI number 1730142142 Active

Practice location

2480 White Bear Ave N Ste 104
Maplewood, MN 55109-4568

Call (612) 444-3247 Map

Fax (612) 888-9247

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X9474 (MN)

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 1730142142

Kristin Michelle Larson, PAC's National Provider Identifier is 1730142142, issued on Apr 7, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Maplewood, MN. The record was last updated on Aug 5, 2025.