Individual provider · Type 1 NPI

Kellie D. Larson, PA-C

Medical Physician Assistant · Lincoln, NE

NPI number 1962489914 Active

Practice location

8201 Northwoods Dr
Lincoln, NE 68505-3092

Call (402) 465-5600 Map

Fax (402) 327-6017

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X737 (NE)

Medical Physician Assistant: Definition to come...

17 other providers at this address

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About NPI 1962489914

Kellie D. Larson, PA-C's National Provider Identifier is 1962489914, issued on Dec 29, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lincoln, NE. The record was last updated on Mar 6, 2017.