Healthcare Provider Details

I. General information

NPI: 1124922257
Provider Name (Legal Business Name): KAY'S HAIR EXTENSIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13359 N HIGHWAY 183 STE 406-716
AUSTIN TX
78750-7153
US

IV. Provider business mailing address

13359 N HIGHWAY 183 STE 406-716
AUSTIN TX
78750-7153
US

V. Phone/Fax

Practice location:
  • Phone: 314-297-8784
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARKASIA RANDLE
Title or Position: CEO
Credential:
Phone: 314-297-8784