Healthcare Provider Details

I. General information

NPI: 1275106072
Provider Name (Legal Business Name): KEHRES HEALTH AND CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2021
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7180 DIXIE HWY
CLARKSTON MI
48346-5109
US

IV. Provider business mailing address

7180 DIXIE HWY
CLARKSTON MI
48346-2014
US

V. Phone/Fax

Practice location:
  • Phone: 989-607-4322
  • Fax:
Mailing address:
  • Phone: 248-625-7690
  • Fax: 248-625-7140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: KATELYN THIEME
Title or Position: OFFICE MANAGER
Credential:
Phone: 989-245-4092