Healthcare Provider Details

I. General information

NPI: 1538080585
Provider Name (Legal Business Name): KEVIN ROHNER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6850 HUBBARD RD
CLARKSTON MI
48348-2822
US

IV. Provider business mailing address

4832 LORE DR
WATERFORD MI
48329-1641
US

V. Phone/Fax

Practice location:
  • Phone: 248-623-5500
  • Fax:
Mailing address:
  • Phone: 248-225-6884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: