Keith D Larson is a Saint Cloud, Minnesota based neurologist who is specialized in Child Neurology. Active license number of Keith D Larson is 22693 for Child Neurology in Minnesota. His current practice location is 1511 Northway Dr, Suite 202, Saint Cloud. Patients can reach him at 320-217-8880 or can fax him at 320-253-1822. Keith D Larson is MD in Child Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1639138431. Keith D Larson specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Complete Profile:
Keith D Larson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Keith D Larson
Specialization:
Child Neurology
Gender:
Male
Credentials:
MD
Practice Address:
1511 Northway Dr, Suite 202, Saint Cloud, Minnesota, 56303-1261
Phone:
320-217-8880
Fax:
320-253-1822
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1639138431
NPI Enumeration Date:
21 Mar, 2006
NPI Last Update On:
01 Sep, 2009
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Keith D Larson are as mentioned below.
License Number
Specialization
State
Status
22693
Child Neurology
Minnesota
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Keith D Larson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
313593400
Medicaid
Minnesota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Keith D Larson 1511 Northway Dr, Suite 202 Saint Cloud, Minnesota
Zip:
56303-1261
Phone Number:
320-217-8880
Fax Number:
320-253-1822
Patients can reach Keith D Larson at 1511 Northway Dr, Suite 202, Saint Cloud, Minnesota or can call to book an appointment on 320-217-8880.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.