KELLY LARGE
Nurse Anesthetist, Certified Registered
Active
Individual
NPI: 1558819805
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered | 367500000X | Yes | 4704281314 (MI) |
Frequently Asked Questions
NPI 1558819805 is the National Provider Identifier for KELLY LARGE, a Nurse Anesthetist, Certified Registered provider located in Shelby Twp, MI. This NPI was enumerated on September 15, 2016.
KELLY LARGE practices at 54460 BLUE CLOUD DR, Shelby Twp, MI 48315.
Quick Facts
- NPI
- 1558819805
- Type
- Individual
- Enumerated
- Sep 15, 2016
- Last Updated
- Oct 1, 2020
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