Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 1022 | AR |
N | 207R00000X | Internist | 1022 | AR |
N | 111NI0900X | Internist | 1022 | AR |
N | 111NN0400X | Neurology | 1022 | AR |
N | 111NN1001X | Nutrition | 1022 | AR |
N | 111NP0017X | Pediatric Chiropractor | 1022 | AR |
N | 111NR0400X | Rehabilitation Chiropractor | 1022 | AR |
NPI | 1568598613 |
---|---|
Provider Name | Dr. Kurt Allen Larsen |
First Address | Hot Springs, AR 71901-9475 |
Second Address | Hot Springs, AR 71901-9475 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2007 |
Last Update Date | 15/01/2020 |