EARL KENNETH LARSON

OMAHA, NE
NPI1902268105
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: NE  2439)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: MN  69279)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-03-26
Last Update Date2023-01-11
Business Address
Dr. EARL KENNETH LARSON D.O.
14301 FNB PKWY STE 100
OMAHA, NE 68154-7200
Phone number: 402-493-1212
Mailing Address
Dr. EARL KENNETH LARSON D.O.
14301 FNB PKWY STE 100
OMAHA, NE 68154-7200
Phone number: 402-493-1212
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