Healthcare Provider Details

I. General information

NPI: 1417885179
Provider Name (Legal Business Name): KAYLYN HUNTOON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

616 W GRAND RIVER AVE
HOWELL MI
48843-2152
US

IV. Provider business mailing address

109 PINE ST
WEBBERVILLE MI
48892-9600
US

V. Phone/Fax

Practice location:
  • Phone: 866-440-7233
  • Fax:
Mailing address:
  • Phone: 810-772-8930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: