Provider Demographics
NPI:1275646705
Name:JOHN K LARKIN MD LLC
Entity Type:Organization
Organization Name:JOHN K LARKIN MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:K
Authorized Official - Last Name:LARKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-476-7070
Mailing Address - Street 1:1995 HIGHWAY 51 S
Mailing Address - Street 2:SUITE 201
Mailing Address - City:COVINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38019-3635
Mailing Address - Country:US
Mailing Address - Phone:901-476-7070
Mailing Address - Fax:901-476-7083
Practice Address - Street 1:1995 HIGHWAY 51 S
Practice Address - Street 2:SUITE 201
Practice Address - City:COVINGTON
Practice Address - State:TN
Practice Address - Zip Code:38019-3635
Practice Address - Country:US
Practice Address - Phone:901-476-7070
Practice Address - Fax:901-476-7083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty