Organization
KENNETH B. LARGE D.C. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH BRIAN LARGE D.C. (PRESIDENT)
(586) 558-4227
Entity
Organization
Contact information
Practice address
28629 HOOVER RD, WARREN, MI 48093-4105
(586) 558-4227
(586) 558-8718
Mailing address
28629 HOOVER RD, WARREN, MI 48093-4105
(586) 558-4227
(586) 558-8718
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301002287
MI
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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