Individual
KEVIN CARL ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LLP
Contact information
Practice address
2149 JOLLY RD STE 500, OKEMOS, MI 48864-6028
(517) 347-4645
(517) 347-4644
Mailing address
2149 JOLLY RD STE 500, OKEMOS, MI 48864-6028
(517) 347-4645
(517) 347-4644
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361006349
MI
Other
Enumeration date
12/01/2006
Last updated
01/09/2026
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