Kenneth B Large is a Chiropractor in Warren, Michigan. Kenneth B Large practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kenneth B Large is 1235251638. The last update date is 2007-10-12.
Kenneth B Large's current location address is 28629 Hoover Rd, Warren, Michigan. You can contact this provider via phone number 5865584227. The mailing address for Kenneth B Large is 28629 Hoover Rd, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth B Large |
|---|---|
| Address | 28629 Hoover Rd, Warren, Michigan |
| Phone Number | 5865584227 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1235251638 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2007-10-12 |
Provider Mailing Address Detail
| Address | 28629 Hoover Rd |
|---|---|
| City | Warren |
| State | Michigan (MI) |
| Post Code | 480934105 |
| Phone Number | 5865584227 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2301002287 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the Kenneth B Large's 1235251638?
The Kenneth B Large's NPI (National Provider Identifier) Number is 1235251638. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kenneth B Large's facilities are geographically located?
The facilities of Kenneth B Large are physically situated at the following location: 28629 Hoover Rd, Warren, MI, 480934105.
What is the Kenneth B Large's area of specialization and corresponding taxonomy classification?
The Kenneth B Large's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1235251638 assigned to Kenneth B Large?
The Kenneth B Large was issued its 1235251638 on 2007-04-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Kenneth B Large's information last updated?
The Kenneth B Large's information was last updated on 2007-10-12.
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