| Kenneth S Larsen, MD | |
|
9600 S 1300 E, #308, Sandy, UT 84094-3766 | |
| (801) 501-5590 | |
| Not Available |
| Full Name | Kenneth S Larsen |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 9600 S 1300 E, Sandy, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588767081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 932612681205 (Utah) | Primary |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth S Larsen, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 501-5590 | Kenneth S Larsen, MD 9600 S 1300 E, #308, Sandy, UT 84094-3766 Ph: (801) 501-5590 |
Kristi Maas, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 10150 S Petunia Way, Sandy, UT 84092 Phone: 801-878-8888 | |
Dr. John Lawrence Gililland Jr., M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 10150 S Petunia Way, Sandy, UT 84092 Phone: 801-878-8888 Fax: 801-878-8890 | |
Dr. Frank Jay Keefer, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3324 Seven Springs Dr, Sandy, UT 84092 Phone: 801-942-3510 | |
Russell A Smith, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9600 S 1300 E, Suite 300, Sandy, UT 84094 Phone: 801-571-7777 Fax: 801-523-1848 | |
Alicia Tabish Jones, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9600 S 1300 E, Suite 300, Sandy, UT 84094 Phone: 801-571-7777 Fax: 801-523-1848 | |
Gregory C Tanner, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9600 S 1300 E, Ste 305, Sandy, UT 84094 Phone: 801-963-1880 Fax: 801-963-1886 |