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KEVIN LEE LAROSE PHYSICIAN ASSISTANT
NPI 1033701719
Physician Assistant in Fort Drum, NY

Active since February 04, 2021
11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602(315) 772-2778 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 2, 2024, Feb 4, 2021 (2 updates tracked since 2021).

About Kevin Lee Larose Physician Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN LEE LAROSE PHYSICIAN ASSISTANT (NPI 1033701719) is an individual physician assistant in Fort Drum, New York, licensed in (1178786) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1033701719
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKEVIN LEE LAROSECredential: PHYSICIAN ASSISTANT
Location Address11050 MT BELVEDERE BLVDFort Drum, NY 13602-2603
Mailing Address11050 Mt Belvedere BlvdFort Drum, NY 13602-2603 · (315) 772-2778
Phone(315) 772-2778
Sole ProprietorNo
Enumeration DateFebruary 4, 2021
Last NPPES UpdateMay 2, 20242 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
✔ NPI 1033701719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed · 1178786
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11050 MT BELVEDERE BLVD, Fort Drum, NY 13602
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL HARRIS CARPENTER M.D.
Pediatrics
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-7730
DR. ELIZABETH DUQUE M.D.
Family Medicine
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (888) 838-1303
PATRICK ALLEN CLAPP PA-C
Physician Assistant
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-5516
DEEANN STALVEY
Psychologist
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (701) 367-0584
AMBER DONN CANTEY DPT
Physical Therapist
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (210) 419-1874
JEREMIAH C CLESTER PA-C
Physician Assistant
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778
DUSTEN GREEN DSW,LCSW, CASAC
Social Worker
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778
DR. AZIZA C ALAM M.D.
Pediatrics
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-4024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Larose's NPI number?

The NPI number for Kevin Larose is 1033701719. It was assigned to this individual provider in the NPPES registry on February 4, 2021.

Where is Kevin Larose located?

Kevin Larose practices at 11050 Mt Belvedere Blvd, Fort Drum, NY 13602. The listed phone number is (315) 772-2778.

What is Kevin Larose's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kevin Larose was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.