Kelly Large, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Shelby Twp, Michigan. Her current practice location is
54460 Blue Cloud Dr, Shelby Twp, Michigan. You can reach out to her office (for appointments etc.) via phone at
(586) 703-3018.
Kelly Large is licensed to practice in Michigan (license number 4704281314) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558819805.
Provider's Profile
Full Name | Kelly Large |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 54460 Blue Cloud Dr, Shelby Twp, Michigan |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kelly Large attended and graduated from in
NPI Data:
- NPI Number: 1558819805
- Provider Enumeration Date: 09/15/2016
- Last Update Date: 10/01/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kelly Large such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558819805 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 4704281314 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Large is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Large, 54460 Blue Cloud Dr, Shelby Twp, MI 48315-1226 Ph: (586) 703-3018 | Kelly Large, 54460 Blue Cloud Dr, Shelby Twp, MI 48315-1226 Ph: (586) 703-3018 |
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