KENNETH B LARSON PA
NPI 1043379829
Physician Assistant in Safford, AZ

Active since December 07, 2006
1600 S 20TH AVE, SAFFORD, AZ 85546(928) 348-4021 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 21, 2017, Mar 4, 2016 (2 updates tracked since 2016).

About Kenneth B Larson Pa NPPES

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

KENNETH B LARSON PA (NPI 1043379829) is an individual physician assistant in Safford, Arizona, licensed in Arizona (1090) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1043379829
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKENNETH B LARSONCredential: PA
Location Address1600 S 20TH AVESafford, AZ 85546-4011
Mailing Address2250 W 16th StSafford, AZ 85546-4081 · (928) 428-1947
Sole ProprietorNo
Enumeration DateDecember 7, 2006
Last NPPES UpdateFebruary 21, 20172 updates tracked since enumeration
NPI 1043379829 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 in AZ · 1090
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.
1600 S 20TH AVE, Safford, AZ 85546

Other Identifiers 3

Medicare ID-Type Unspecified60429AZ · Medicare
Medicare UPINS89621AZ
Medicaid184841AZ

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.

Pharmacist
1600 S 20TH AVE
SAFFORD, AZ 85546
Physician Assistant
1600 S 20TH AVE
SAFFORD, AZ 85546
Occupational Therapy Assistant
1600 S 20TH AVE
SAFFORD, AZ 85546
Nurse Anesthetist, Certified Registered
1600 S 20TH AVE
SAFFORD, AZ 85546
Emergency Medicine
1600 S 20TH AVE
SAFFORD, AZ 85546
Otolaryngology
1600 S 20TH AVE
SAFFORD, AZ 85546
General Acute Care Hospital (Critical Access)
1600 S 20TH AVE
SAFFORD, AZ 85546
Occupational Therapist
1600 S 20TH AVE, BLDG. E
SAFFORD, AZ 85546

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 Kenneth Larson's NPI number?

The NPI number for Kenneth Larson is 1043379829. It was assigned to this individual provider in the NPPES registry on December 7, 2006.

Where is Kenneth Larson located?

Kenneth Larson practices at 1600 S 20th Ave, Safford, AZ 85546. The listed phone number is (928) 348-4021.

What is Kenneth Larson'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 Kenneth Larson was last updated on February 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.