Individual
DR. JILL ANN KAYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
29519 HARPER AVENUE, ST CLAIR SHORES, MI 48081
(586) 772-8140
(586) 772-8307
Mailing address
29519 HARPER AVENUE, ST CLAIR SHORES, MI 48081
(586) 772-8140
(586) 772-8307
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004007
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4901004007
STATE LICENSE
MI
Enumeration date
02/11/2007
Last updated
09/11/2008
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