Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH DAVID LARSEN
Active Sole ProprietorPeer Specialist · CANON CITY, CO
Registration Details
- NPI Number
- 1679092167
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 15, 2017 (8.5967319315373 yrs)
- Last Updated
- Sep 15, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
3239 INDEPENDENCE RDCANON CITY, CO, 812129380Browse CO providers · Browse ZIP 81212
- Phone
- 7192757650
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in CANON CITY, CO
| Name | Credential | NPI |
|---|---|---|
| DANIKA HAMILTON | — | 1467843672 |
| SABATINA ROWE | — | 1720475742 |
| JORDAN N. MOLOZNIK | — | 1205223534 |
| AARON ABBOTT | — | 1578924155 |
| DUSTY DASUGO | — | 1962865766 |
| HALINE GRUBLAK | — | 1215385430 |
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.