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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIM MARGARET DEROCHER LARSEN, RRT

Active Sole Proprietor

KIM MARGARET DEROCHER LARSEN, RRT is a 2279C0205X healthcare provider located in LAS VEGAS, Nevada. NPI 1184296147 is currently active in the NPPES registry. Verify at CMS.

2279C0205X · LAS VEGAS, NV

Registration Details

NPI Number
1184296147
Provider Type
Individual
Gender
Female
NPI Issued
Jul 10, 2021 (5.0541938518386 yrs)
Last Updated
Jul 10, 2021
License
RC1562 (NV)
Sole Proprietor
Yes

Practice Information

Address
4340 PARKDALE AVE
LAS VEGAS, NV, 891212647
Browse NV providers · Browse ZIP 89121
Phone
7024996478
Primary Specialty
2279C0205X
2279C0205X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.