MEDICARE: KAYLYN HUNTOON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1417885179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLYN HUNTOON

Provider Business Mailing Address
First Line	:	109 PINE ST
Second Line	:
City	:	WEBBERVILLE
State	:	MI
Zip	:	48892-9600
Country	:	US
Telephone Number	:	810-772-8930
Fax Number	:

Provider Business Practice Location Address
First Line	:	616 W GRAND RIVER AVE
Second Line	:
City	:	HOWELL
State	:	MI
Zip	:	48843-2152
Country	:	US
Telephone Number	:	866-440-7233
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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Directions to “ KAYLYN HUNTOON ” Practice Location

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