Provider Demographics
NPI:1457609703
Name:LARKIN, DAVID KENDALL (RN)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:KENDALL
Last Name:LARKIN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1119 S LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:PORT ANGELES
Mailing Address - State:WA
Mailing Address - Zip Code:98362-7830
Mailing Address - Country:US
Mailing Address - Phone:360-460-3766
Mailing Address - Fax:
Practice Address - Street 1:USNS TIPPECANOE # T-AO199
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96679-4040
Practice Address - Country:US
Practice Address - Phone:619-544-6982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00131132163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency