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KEITH D LARSON MD
NPI 1639138431
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Saint Cloud, MN

Active since March 21, 2006
1511 NORTHWAY DR, SUITE 202, SAINT CLOUD, MN 56303(320) 217-8880(320) 253-1822 Get Directions Write a Review

NPPES record last updated: September 1, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Keith D Larson Md NPPES

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

KEITH D LARSON MD (NPI 1639138431) is an individual neurology with special qualifications in child neurology provider in Saint Cloud, Minnesota, licensed in Minnesota (22693) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1639138431
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameKEITH D LARSONCredential: MD
Location Address1511 NORTHWAY DR, SUITE 202Saint Cloud, MN 56303-1261
Mailing Address1511 Northway Dr, Suite 202Saint Cloud, MN 56303-1261 · (320) 217-8880 · Fax (320) 253-1822
Phone(320) 217-8880
Fax(320) 253-1822
Sole ProprietorYes
Enumeration DateMarch 21, 2006
Last NPPES UpdateSeptember 1, 2009
✔ NPI 1639138431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in MN · 22693
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
1511 NORTHWAY DR, Saint Cloud, MN 56303
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Other Identifiers 3

Medicare ID-Type Unspecified130000657
Medicare UPIND80168
Medicaid313593400MN

Other Providers at the Same Location NPPES 5

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

DR. MARC DANA ORJANSEN DDS, MS
Dentist (Periodontics)
1511 NORTHWAY DR, SUITE 202
SAINT CLOUD, MN 56303
Stearns County (320) 240-9028
JULIE M JOHNSON MD
Family Medicine
1511 NORTHWAY DR, STE 103
SAINT CLOUD, MN 56303
Stearns County (320) 227-5000
DR. DENNIS LEE NIERENGARTEN D.D.S.
Dentist (General Practice)
1511 NORTHWAY DR, SUITE 102
SAINT CLOUD, MN 56303
Stearns County (320) 255-1020
DR. MOHAMED SATTI YASSIN M.D.
Specialist
1511 NORTHWAY DR, SUITE 101
SAINT CLOUD, MN 56303
Stearns County (320) 654-8266
KEITH LARSON NEUROLOGY PLLC
Clinic/Center
1511 NORTHWAY DR, SUITE 202
SAINT CLOUD, MN 56303
Stearns County (320) 217-8880

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 Keith Larson's NPI number?

The NPI number for Keith Larson is 1639138431. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Where is Keith Larson located?

Keith Larson practices at 1511 Northway Dr Suite 202, Saint Cloud, MN 56303. The listed phone number is (320) 217-8880.

What is Keith Larson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

When was this NPI record last updated?

The NPPES record for Keith Larson was last updated on September 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.