Kelly Carroll Largent, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601001065 Issued in MI

Practice address

10109 Slee Rd
Onsted, MI 49265-9701

Phone

(517) 442-4699

NPI assigned

Nov 25, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kelly Carroll Babbles Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1679970347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10109 SLEE RD",
            "city": "ONSTED",
            "state": "MI",
            "postal_code": "492659701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10109 SLEE RD",
            "city": "ONSTED",
            "state": "MI",
            "postal_code": "492659701",
            "telephone_number": "517-442-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARGENT",
        "first_name": "KELLY",
        "middle_name": "CARROLL",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "BABBLES",
            "middle_name": "CARROLL",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lana Imm
• Inner Dawn LLC
• Inner Strengths LLC
• Isabelle Rae Kisor
• Eric Ryan Lamey, D.C.
• Dana Lynette Lipinski
• Kelsey Leigh Marion, RN, BSN
• Brian O. Mason, LCSW, LMSW
• Brian Patrick Miklos, L.M.S.W.
• Judith Ann Parros, M.A., LPC

• Athletic Trainer in Onsted, MI
• Providers in Onsted, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.