Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Large

Individual provider Certified Registered Nurse Anesthetist · NPI 1558819805

Kelly Large is a Certified Registered Nurse Anesthetist (CRNA) in Shelby Twp, Michigan. Qualified in 2017, 9 years ago. Practices with Henry Ford Health Rochester Hospital, a 103-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2016

Practice location Address checks out

54460 Blue Cloud Dr
Shelby Twp, MI 48315-1226
Phone: (586) 703-3018
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704281314 (MI)

Record details

NPI number1558819805
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 15, 2016
Last updated in NPPESOctober 1, 2020
Certification dateOctober 1, 2020
Mailing address54460 Blue Cloud Dr, Shelby Twp, MI 48315-1226

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Henry Ford Health Rochester Hospital — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shelby Twp