NPI Code Details Logo

NPI 1811850274

NPI 1811850274 : KAYLEE LORENE COLLINS DC : SHELBY TWP, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1811850274
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    KAYLEE LORENE COLLINS DC
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/03/2025
-----------------------------------------------------
    Last Update Date     |    12/03/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    45637 HAYES RD 
-----------------------------------------------------
    City                 |    SHELBY TWP
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48315-6214
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    586-991-6471
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    30911 LONGVIEW AVE 
-----------------------------------------------------
    City                 |    WARREN
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48093-8006
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    586-719-0122
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    111N00000X
-----------------------------------------------------
    Taxonomy Name        |    Chiropractor
-----------------------------------------------------
    License Number       |    2301401673
-----------------------------------------------------
    License Number State |    MI
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.