MEDICARE: DR. MICHAEL JAY KAYNER DC

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	111N00000X	Chiropractor	2301006945	MI

General Provider Information

NPI Number	:	1487706537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL JAY KAYNER DC

Provider Business Mailing Address
First Line	:	80 W M 55
Second Line	:
City	:	TAWAS CITY
State	:	MI
Zip	:	48763-9250
Country	:	US
Telephone Number	:	989-362-8991
Fax Number	:	989-362-8991

Provider Business Practice Location Address
First Line	:	80 W M 55 STE A
Second Line	:
City	:	TAWAS CITY
State	:	MI
Zip	:	48763-9250
Country	:	US
Telephone Number	:	989-362-8991
Fax Number	:

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

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	11/08/2021

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