Kenneth Theodore Larsen Jr, MD | |
500 Hospital Dr, Warrenton, VA 20186-3027 | |
(540) 347-4078 | |
Not Available |
Full Name | Kenneth Theodore Larsen Jr |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 500 Hospital Dr, Warrenton, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1952406027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 0101021589 (Virginia) | Primary |
Entity Name | Page Memorial Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326040684 PECOS PAC ID: 8426951203 Enrollment ID: O20040129000420 |
Entity Name | Virginia Emergency Medicine Assoicates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700988664 PECOS PAC ID: 3870581986 Enrollment ID: O20040510001258 |
Mailing Address | Practice Location Address |
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Kenneth Theodore Larsen Jr, MD 10599 Warland Rd, Marshall, VA 20115-2365 Ph: (540) 364-2885 | Kenneth Theodore Larsen Jr, MD 500 Hospital Dr, Warrenton, VA 20186-3027 Ph: (540) 347-4078 |
Dr. Alexander-nicholas Desierto Sutingco, MD FACEP Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Hospital Dr, Warrenton, VA 20186 Phone: 540-349-0595 Fax: 540-349-0587 | |
Dr. Joseph G Servideo, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Hospital Dr, Warrenton, VA 20186 Phone: 540-349-0595 | |
Christine Snell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Hospital Dr, Warrenton, VA 20186 Phone: 540-349-0595 Fax: 540-349-0587 | |
Mr. Joseph Chu, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Hospital Dr, Warrenton, VA 20186 Phone: 540-349-0595 | |
Mr. Matthew P Rhames, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 Hospital Dr, Warrenton, VA 20186 Phone: 540-349-0595 | |
Kristy S Reynolds, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 Hospital Dr, Warrenton, VA 20186 Phone: 540-349-0595 | |
Mr. Jeffrey A Joseph, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Hospital Dr, Warrenton, VA 20186 Phone: 540-349-0595 |