DR. KELLY SUZANNE LARSON


Address: 700 Lily Rd Se, Olympia, WA 98503
Phone: 3606507125

DR. KELLY SUZANNE LARSON (NPI# 1023191442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023191442
Entity Type Individual
Full Name DR. KELLY SUZANNE LARSON
Credential M.D.
Practice Address 700 Lily Rd Se
Olympia
WA 98503
Mailing Address 700 Lilly Rd Ne
Olympia
WA 98506-5115
Practice Telephone 3606507125
Mailing Telephone 3606507125
Enumeration Date 2006-10-21
Last Update Date 2015-08-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 60361325 WA Allopathic & Osteopathic Physicians

Other Providers KELLY LARSON

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1386055168 Kelly Larson Case Manager/Care Coordinator 6809 Bebe Ct., Louisville, KY 40219 2014-05-14
1124442595 Kelly Larson Massage Therapist 11 Spokane St Ste 202, Wenatchee, WA 98801-6132 2014-02-06
1619274362 Kelly A Larson Massage Therapist 225 Maxwell Ave, Port Townsend, WA 98368-9488 2011-02-15
1346310414 Kelly James Larson Dentist 8086 E Florentine Rd, Prescott Valley, AZ 86314-9422 2006-11-08
1184282212 Kelly Larson Assistant Behavior Analyst 3504 Commercial Ave, Northbrook, IL 60062-1821 2019-06-04
1144691551 Kelly Elizabeth Larson Behavioral Analyst 1025 E 54th St, Indianapolis, IN 46220-3219 2015-10-12
1891101606 Kelly Larson Counselor 7907 Ostrow St, San Diego, CA 92111-3635 2014-07-01
1528190998 Kelly Larson Physical Therapy Assistant 1301 15th Ave W, Williston, ND 58801-3821 2007-03-12
1760512438 Kelly Marie Larson Physical Therapist 10300 W 103rd St, Suite 300, Overland Park, KS 66214-2642 2007-03-06
1548301161 Kelly Larson Speech-Language Pathologist 701 W 6th St, Grafton, ND 58237-1379 2007-02-08

Office Location

Street Address 700 LILY RD SE
City OLYMPIA
State WA
Zip Code 98503

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457838989 Michele Nordgren Bourque Psychologist 4329 Concordia Lane Se, Lacey, WA 98503 2018-07-26
1831638675 Trevor John Marum Chiropractor 3945 8th Ave Se, Lacey, WA 98503 2017-02-13
1366993362 Vanessa Julie Iglesias Mehta Physician Assistant 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 2016-10-14
1144683616 Millenda Thomas Registered Nurse 1233 Firpark Dr. S.e., Lacey, WA 98503 2016-04-01
1609257245 Erika Charlotte Vonkotzebue Counselor 4401 37th Ave. Se #25, Lacey, WA 98503 2015-06-09
1437576196 Candy Nelson Registered Nurse 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 2014-03-19
1134563919 Alvin Fitzgerald Pharmacist 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 2013-04-23
1518200724 Katherine Mary Marsh Psychologist 5191 Corporate Center Court Se, Lacey, WA 98503 2013-04-05
1740530906 Leanna Marie Mcbroom Massage Therapist 1608 Diamond Loop Se, Lacey, WA 98503 2012-09-14
1831445196 Joyce Emily Christensen Coniff Counselor 5706 39th Ave Se., Lacey, WA 98503 2012-07-24
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154974368 Unruhly Medicine Pllc Family Medicine 1701 4th Ave E, Olympia, WA 98506-4533 2019-07-17
1104340405 Sweet Medical Group, Pllc Family Medicine 8315 Normandy St Se, Olympia, WA 98504-0001 2017-07-28
1184144768 Trevor Shane Kwan Family Medicine 525 Lilly Road Ne, Olympia, WA 98506 2017-06-23
1285018432 South Sound Medical Group, Pllc Family Medicine 10116 Coachman Ln Se, Olympia, WA 98501-9731 2015-07-17
1710378229 Mary Gibbons Family Medicine 7040 Puget Beach Rd Ne, Olympia, WA 98516-9158 2015-02-05
1588095749 Coral Hilby Family Medicine 2520 Island Dr Nw, Olympia, WA 98502-9749 2013-12-12
1053756999 Anna Maria A. Pletz Family Medicine 525 Lilly Rd Ne # 250, Pmg Sw Wa East Olympia Fam Med, Olympia, WA 98506-5101 2013-05-06
1811330673 Eugen Sine Enterprises Inc Family Medicine 2121 Stillwater Ave Nw, Olympia, WA 98507 2013-04-11
1972877736 Eric Richard Houghton Family Medicine 1832 Lakewood Cir Se, Olympia, WA 98501-4291 2012-02-25
1073828976 Lacambra Services Inc Family Medicine 7205 Martin Way E, Suite A-69, Olympia, WA 98516-5555 2010-08-16
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Competitor

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City OLYMPIA
Zip Code 98503

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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