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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.