Provider Demographics
NPI:1700803533
Name:KAMI A.K. LARSEN M.D., PC
Entity Type:Organization
Organization Name:KAMI A.K. LARSEN M.D., PC
Other - Org Name:LARSEN PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAMI
Authorized Official - Middle Name:AK
Authorized Official - Last Name:LARSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-263-7800
Mailing Address - Street 1:866 SEVEN HILLS DR
Mailing Address - Street 2:SUITE #103
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4374
Mailing Address - Country:US
Mailing Address - Phone:702-263-7800
Mailing Address - Fax:702-263-0087
Practice Address - Street 1:866 SEVEN HILLS DR
Practice Address - Street 2:SUITE #103
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4374
Practice Address - Country:US
Practice Address - Phone:702-263-7800
Practice Address - Fax:702-263-0087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty