Kelly Large
NPI #1558819805 in Shelby Twp, Michigan
Provider Information
- NPI Number
- 1558819805
- Entity Type
- Individual
- Name
- Kelly Large
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Sep 15, 2016
- Last Updated
- Oct 1, 2020
Practice Location
- Address
- 54460 BLUE CLOUD DR
- City
- Shelby Twp
- State
- Michigan
- ZIP Code
- 48315-1226
- Phone
- (586) 703-3018
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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