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

Kellie D Larson, PA-C

Individual provider Medical Physician Assistant · NPI 1962489914

Kellie D Larson, PA-C is a Medical Physician Assistant in Lincoln, Nebraska. Licensed in Nebraska. Registered with an NPI since 2005.

Licensed in
NE
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

8201 Northwoods Dr
Lincoln, NE 68505-3092
Phone: (402) 465-5600
Fax: (402) 327-6017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 737 (NE)

Record details

NPI number1962489914
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 29, 2005
Last updated in NPPESMarch 6, 2017
Mailing address8201 Northwoods Dr, Lincoln, NE 68505-3092

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