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Kyle Larson
NPI 1689070419 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1028 Berry Ave Apt 202
Tomah, WI 54660 - Phone
- (931) 561-0580
Registry record
- Primary taxonomy
- 163WP2201X
163WP2201X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-20
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 Wisconsin