Provider Demographics
NPI:1942522933
Name:KEHRES, DANIEL BRANDON (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:BRANDON
Last Name:KEHRES
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 1:11244 LAKE CIRCLE DR S
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48609-9617
Mailing Address - Country:US
Mailing Address - Phone:989-295-4357
Mailing Address - Fax:
Practice Address - Street 1:3499 LINGER LN
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601-5622
Practice Address - Country:US
Practice Address - Phone:517-243-0295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-18
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009633111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor