Individual
KRIS KATHLEEN ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 N MOUNT TOM RD, MIO, MI 48647-8739
(989) 826-3208
(989) 826-6779
Mailing address
PO BOX 148, MIO, MI 48647-0148
(989) 826-3208
(989) 826-6779
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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