MEDICARE: KAYLEE LORENE COLLINS 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	2301401673	MI

General Provider Information

NPI Number	:	1811850274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLEE LORENE COLLINS DC

Provider Business Mailing Address
First Line	:	30911 LONGVIEW AVE
Second Line	:
City	:	WARREN
State	:	MI
Zip	:	48093-8006
Country	:	US
Telephone Number	:	586-719-0122
Fax Number	:

Provider Business Practice Location Address
First Line	:	45637 HAYES RD
Second Line	:
City	:	SHELBY TWP
State	:	MI
Zip	:	48315-6214
Country	:	US
Telephone Number	:	586-991-6471
Fax Number	:

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

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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