MEDICARE: DR. KYLENE LYNN VOLZ 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	2301008904	MI

General Provider Information

NPI Number	:	1578678074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KYLENE LYNN VOLZ DC

Provider Business Mailing Address
First Line	:	1995 CEDAR ST
Second Line	:	SUITE #3
City	:	HOLT
State	:	MI
Zip	:	48842-6630
Country	:	US
Telephone Number	:	517-699-3000
Fax Number	:	517-699-3610

Provider Business Practice Location Address
First Line	:	1995 CEDAR ST
Second Line	:	SUITE #3
City	:	HOLT
State	:	MI
Zip	:	48842-6630
Country	:	US
Telephone Number	:	517-699-3000
Fax Number	:	517-699-3610

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

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	07/09/2007

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