Search › Montana › 103TC0700X

Kenneth Larsen, DMIN, PHD, ABMP

NPI 1053343707 · on the registry since 2006 · sole proprietor

Practice

Address
34 N Eldorado Ave
Bozeman, MT 59718
Phone
(617) 413-2328
Fax
(617) 334-7845

Additional practice sites

  • 500 Victory Rd Ste 3, Quincy, MA

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-10-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana