Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelli Anne Larson, DO

Individual provider Family Medicine Physician · NPI 1629336953

Kelli Anne Larson, DO is a Family Practice in Polson, Montana. Qualified in 2012, 14 years ago. Practices with St Lukes Community Hospital, a 61-clinician group and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
14
Licensed in
MT
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

107 Ridgewater Dr
Polson, MT 59860-8977
Phone: (406) 883-3737
Fax: (406) 883-2669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 41446 (MT)

Record details

NPI number1629336953
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 24, 2012
Last updated in NPPESOctober 14, 2016
Mailing address107 6th Ave Sw, Ronan, MT 59864-2634

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice St Lukes Community Hospital — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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