KENNETH ROBERT LARSEN

WARWICK, RI
NPI1003894940
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy207P00000X Emergency Medicine
(Licence: RI  490)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: CT  273)
Enumeration Date2005-12-31
Last Update Date2007-07-08
Business Address
KENNETH ROBERT LARSEN D.O
455 TOLL GATE RD
WARWICK, RI 02886-2759
Phone number: 401-736-4289
Mailing Address
KENNETH ROBERT LARSEN D.O
382 GRINDSTONE HILL RD
NORTH STONINGTON, CT 06359-1106
Phone number: 860-599-1871