Kenneth Robert Larsen, DO | |
455 Toll Gate Rd, Warwick, RI 02886-2759 | |
(401) 736-4289 | |
Not Available |
Full Name | Kenneth Robert Larsen |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 455 Toll Gate Rd, Warwick, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003894940 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 490 (Rhode Island) | Primary |
207P00000X | Emergency Medicine | 273 (Connecticut) | Secondary |
Entity Name | The William W Backus Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467517235 PECOS PAC ID: 0749170645 Enrollment ID: O20040316000739 |
Entity Name | Hartford Healthcare Urgent Care Centers Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093239683 PECOS PAC ID: 7618242777 Enrollment ID: O20170929001464 |
Mailing Address | Practice Location Address |
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Kenneth Robert Larsen, DO 382 Grindstone Hill Rd, North Stonington, CT 06359-1106 Ph: (860) 599-1871 | Kenneth Robert Larsen, DO 455 Toll Gate Rd, Warwick, RI 02886-2759 Ph: (401) 736-4289 |
Christopher Baze, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-737-7010 | |
Lindsey Gori, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-737-7010 | |
Ashley Mildred Langella, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 455 Toll Gate Rd, Office Of Graduate Medical Education, Warwick, RI 02886 Phone: 401-731-7000 | |
Jonathan Trent Vanadore, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-737-7010 | |
Stephanie Leigh Aaron, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 455 Toll Gate Road, Warwick, RI 02886 Phone: 864-650-2955 | |
Christopher J Mozdzanowski, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-737-7000 |