NICHOLAS LARSEN

KANSAS CITY, MO
NPI1093392177
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: MO  2021020364)
Additional Taxonomies208000000X Pediatrics
(Licence: KS  94-10679)
Enumeration Date2021-03-25
Last Update Date2021-06-27
Business Address
NICHOLAS LARSEN MD
2401 GILLHAM RD
KANSAS CITY, MO 64108-4619
Phone number: 816-701-5200
Mailing Address
NICHOLAS LARSEN MD
2401 GILLHAM RD
KANSAS CITY, MO 64108-4619
Phone number: 816-701-5200