Kenneth B. Large D.C. P.C. in Warren - Chiropractor
Kenneth B. Large D.C. P.C. - NPI 1710176409
Kenneth B. Large D.C. P.C. is a Chiropractor in Warren, Michigan. Kenneth B. Large D.C. P.C. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kenneth B. Large D.C. P.C. is 1710176409. The last update date is 2007-10-18.
Kenneth B. Large D.C. P.C.'s current location address is 28629 Hoover Rd, Warren, Michigan. You can contact this provider via phone number 5865584227 and fax number 5865588718. The mailing address for Kenneth B. Large D.C. P.C. is 28629 Hoover Rd, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kenneth B. Large D.C. P.C. |
|---|---|
| Address | 28629 Hoover Rd, Warren, Michigan |
| Phone Number | 5865584227 |
| Fax Number | 5865588718 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Large Brian Kenneth |
| Credentials | D.C. |
| Telephone Number | 5865584227 |
NPI Number Detail
| NPI Number | 1710176409 |
|---|---|
| Provider Enumeration Date | 2007-10-18 |
| Last Updated Date | 2007-10-18 |
Provider Mailing Address Detail
| Address | 28629 Hoover Rd |
|---|---|
| City | Warren |
| State | Michigan (MI) |
| Post Code | 480934105 |
| Phone Number | 5865584227 |
| Fax Number | 5865588718 |
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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Post Comment/ Review Below
What is the unique identifier code issued to Kenneth B. Large D.C. P.C. by the Centers for Medicare & Medicaid Services (CMS)?
The Kenneth B. Large D.C. P.C. has been assigned the NPI (National Provider Identifier) 1710176409. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Kenneth B. Large D.C. P.C.'s facilities are situated?
The facilities of Kenneth B. Large D.C. P.C. are physically located at the following address: 28629 Hoover Rd, Warren, MI, 480934105.
What is the Kenneth B. Large D.C. P.C.'s specialty and taxonomy code?
The Kenneth B. Large D.C. P.C.'s specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Kenneth B. Large D.C. P.C. receive the assignment of its 1710176409 from the Centers for Medicare & Medicaid Services?
The Kenneth B. Large D.C. P.C. was issued its 1710176409 by the Centers for Medicare & Medicaid Services on 2007-10-18.
As of what date were the details pertaining to Kenneth B. Large D.C. P.C. last refreshed?
The information related to the Kenneth B. Large D.C. P.C., including its address, specialty, and other relevant details, was last updated on 2007-10-18.