Keith David Larsen
Keith David Larsen is a Peer Specialist in Canon City, Colorado. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
3239 Independence RdCanon City, CO 81212-9380
Phone: (719) 275-7650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1679092167 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 15, 2017 |
| Last updated in NPPES | September 15, 2017 |
| Mailing address | 3239 Independence Rd, Canon City, CO 81212-9380 |
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