MEDICARE: MICHAEL JON KAYE HIS

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	237700000X	Hearing Instrument Specialist	759	TN

General Provider Information

NPI Number	:	1124301593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL JON KAYE HIS

Provider Business Mailing Address
First Line	:	1914 CHARLOTTE AVE STE 103
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2231
Country	:	US
Telephone Number	:	615-321-3393
Fax Number	:

Provider Business Practice Location Address
First Line	:	1914 CHARLOTTE AVE STE 103
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2231
Country	:	US
Telephone Number	:	615-321-3393
Fax Number	:

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

Provider Enumeration Date	:	09/22/2011
Last Update Date	:	09/22/2011

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