Provider Demographics
NPI:1851029953
Name:NEKINAS ANOINTED BEAUTY LLC
Entity Type:Organization
Organization Name:NEKINAS ANOINTED BEAUTY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRANIAL PROSTHESIS (MEDICAL WIG)
Authorized Official - Prefix:MS
Authorized Official - First Name:KELLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-207-5502
Mailing Address - Street 1:PO BOX 363
Mailing Address - Street 2:
Mailing Address - City:BELZONI
Mailing Address - State:MS
Mailing Address - Zip Code:39038-0363
Mailing Address - Country:US
Mailing Address - Phone:662-207-5502
Mailing Address - Fax:
Practice Address - Street 1:102 W THIRD ST
Practice Address - Street 2:
Practice Address - City:BELZONI
Practice Address - State:MS
Practice Address - Zip Code:39038-3213
Practice Address - Country:US
Practice Address - Phone:662-207-5502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier