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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 60361325 | WA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
700 LILY RD SE |
City | OLYMPIA |
State | WA |
Zip Code | 98503 |
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 |
Find all providers in zip 98503 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
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. |
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 |
Find all providers in OLYMPIA |
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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.