Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH D LARSON, MD
Active Sole ProprietorKEITH D LARSON, MD is a Neurology with Special Qualifications in Child Neurology healthcare provider located in SAINT CLOUD, Minnesota. NPI 1639138431 is currently active in the NPPES registry. Verify at CMS.
Neurology with Special Qualifications in Child Neurology · SAINT CLOUD, MN
Registration Details
- NPI Number
- 1639138431
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 21, 2006 (20.447004321589 yrs)
- Last Updated
- Sep 1, 2009
- License
-
22693 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1511 NORTHWAY DRSUITE 202SAINT CLOUD, MN, 563031261Browse MN providers · Browse ZIP 56303
- Phone
- 3202178880
- Fax
- 3202531822
- Primary Specialty
-
Neurology with Special Qualifications in Child Neurology
2084N0402X
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.