Healthcare Provider Details

I. General information

NPI: 1386906451
Provider Name (Legal Business Name): DAINA KAY KAYS RN,NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2012
Last Update Date: 01/22/2020
Certification Date: 01/22/2020
Deactivation Date: 12/17/2018
Reactivation Date: 02/20/2019

III. Provider practice location address

800 HWY 248 STE 3A
BRANSON MO
65616-3821
US

IV. Provider business mailing address

PO BOX 735
NIXA MO
65714-0735
US

V. Phone/Fax

Practice location:
  • Phone: 417-339-3999
  • Fax: 417-339-2999
Mailing address:
  • Phone: 417-425-1610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number155241
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2012028203
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: