Healthcare Provider Details

I. General information

NPI: 1245922806
Provider Name (Legal Business Name): KAYY DIORS HAIR STUDIO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2023
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

970 TINY TOWN RD STE D-1
CLARKSVILLE TN
37042-9026
US

IV. Provider business mailing address

740 CRESTONE LN
CLARKSVILLE TN
37042-1478
US

V. Phone/Fax

Practice location:
  • Phone: 334-614-2967
  • Fax:
Mailing address:
  • Phone: 334-614-2967
  • Fax: 629-910-9338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: KARNASHIA SAPAU
Title or Position: OWNER
Credential:
Phone: 334-614-2967