DR. Kimberly Destefano Larsen, MD

NPI #1265480347 in White Plains, Maryland

Provider Information

NPI Number: 1265480347
Entity Type: Individual
Name: DR. Kimberly Destefano Larsen, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: May 4, 2006
Last Updated: May 21, 2018

Practice Location

Address: 4225 ALTAMONT PL STE 201
City: White Plains
State: Maryland
ZIP Code: 20695-3065
Phone: (240) 607-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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