IndividualActive
Kimberly Larson
NPI 1669181558 · Foster Care Agency · Borup, MN
Provider details
- NPI number
- 1669181558
- Entity type
- Individual
- Primary specialty
- Foster Care AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1112157 (MN)
Specialties & taxonomies
Agencies
Practice location
19772 160th St N
Borup, MN 56519-9660
Phone: (701) 541-7220
Approximate (ZIP-level) locationGet directions
Mailing address
19772 160th St N
Borup, MN 56519-9660
Registry dates
- Enumerated
- 2022-11-18
- Last updated
- 2022-11-18
- Certified
- 2022-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.