Kenneth B. Large D.C. P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301002287 Issued in MI

Legal business name

KENNETH B. LARGE D.C. P.C.

Practice address

28629 Hoover Rd
Warren, MI 48093-4105

Phone

(586) 558-4227

Fax

(586) 558-8718

NPI assigned

Oct 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Brian Large, D.C.

Title

President

Phone

(586) 558-4227

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1710176409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28629 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934105",
            "telephone_number": "586-558-4227",
            "fax_number": "586-558-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28629 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934105",
            "telephone_number": "586-558-4227",
            "fax_number": "586-558-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH B. LARGE D.C. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "LARGE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-558-4227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301002287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Claude Kemink, DO
• Brandi Kemp
• Ra'Shawna Kemp
• Reem Kenaya
• Patrick Kennedy
• Kenneth H. Retford DDS, PLLC
• Kristen Andrea Kenny, DO
• Marie B Kent, LLMSW, MA
• Jessica Marie Keown, PTA
• Apollo Kepler

• Chiropractor in Warren, MI
• Providers in Warren, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.