Individual
DR. KENNETH B LARGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
28629 HOOVER RD, WARREN, MI 48093-4105
(586) 558-4227
Mailing address
28629 HOOVER RD, WARREN, MI 48093-4105
(586) 558-4227
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301002287
MI
Other
Enumeration date
04/04/2007
Last updated
10/12/2007
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