Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY LARSON
Active Sole ProprietorKIMBERLY LARSON is a Foster Care Agency healthcare provider located in BORUP, Minnesota. NPI 1669181558 is currently active in the NPPES registry. Verify at CMS.
Foster Care Agency · BORUP, MN
Registration Details
- NPI Number
- 1669181558
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 18, 2022 (3.7622602511546 yrs)
- Last Updated
- Nov 18, 2022
- License
-
1112157 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19772 160TH ST NBORUP, MN, 565199660Browse MN providers · Browse ZIP 56519
- Phone
- 7015417220
- Primary Specialty
-
Foster Care Agency
253J00000X
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.