Provider Demographics
NPI:1245922806
Name:KAYY DIORS HAIR STUDIO
Entity type:Organization
Organization Name:KAYY DIORS HAIR STUDIO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARNASHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-614-2967
Mailing Address - Street 1:740 CRESTONE LN
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-1478
Mailing Address - Country:US
Mailing Address - Phone:334-614-2967
Mailing Address - Fax:629-910-9338
Practice Address - Street 1:2053 WILMA RUDOLPH BLVD STE 2
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-6961
Practice Address - Country:US
Practice Address - Phone:334-614-2967
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-23
Last Update Date:2023-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier