Kenneth Robert Larsen
Emergency Physician
455 Toll Gate Rd
Warwick
, Rhode Island 02886-2759
Kenneth Robert Larsen
Emergency Physician
455 Toll Gate Rd
Warwick
, Rhode Island 02886-2759
(860) 599-6071
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Kenneth Robert Larsen
- 382 Grindstone Hill Rd
- North Stonington, CT
- Zip : 06359-1106
- Fax : (860) 599-6071
- Phone : (860) 599-1871
Second Address
- Kenneth Robert Larsen
- 455 Toll Gate Rd
- Warwick, RI
- Zip : 02886-2759
- Phone : (401) 736-4289
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 273 | CT |
| Y | 207P00000X | Emergency Physician | 490 | RI |
National Provider Identifier
| NPI | 1003894940 |
|---|---|
| Provider Name | Kenneth Robert Larsen |
| First Address | North Stonington, CT 06359-1106 |
| Second Address | Warwick, RI 02886-2759 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/12/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E37691 | (02) | RI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.