Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY MARIE GALLOIS LARSON, NP
ActivePsychiatric/Mental Health Nurse Practitioner · BURLINGTON, WI
Registration Details
- NPI Number
- 1467169276
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 1, 2022 (3.4699452014309 yrs)
- Last Updated
- Dec 15, 2025
- Licenses
-
13310 (WI)13310 (WI)
Practice Information
- Address
-
116 N DODGE STBURLINGTON, WI, 531051963Browse WI providers · Browse ZIP 53105
- Phone
- 4147734312
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
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.