Provider Demographics
NPI:1114649787
Name:MCELWEE, KALEB (DC)
Entity Type:Individual
Prefix:
First Name:KALEB
Middle Name:
Last Name:MCELWEE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28104 ORCHARD LAKE RD STE 125
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3735
Mailing Address - Country:US
Mailing Address - Phone:248-862-7866
Mailing Address - Fax:
Practice Address - Street 1:500 PERRY RD
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-1482
Practice Address - Country:US
Practice Address - Phone:810-771-7624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301401292111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor