Healthcare Provider Details

I. General information

NPI: 1902599947
Provider Name (Legal Business Name): HUFSA A KAYANI DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2023
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4102 CLEAR CREEK RD STE 107
KILLEEN TX
76549-5954
US

IV. Provider business mailing address

4102 CLEAR CREEK RD STE 107
KILLEEN TX
76549-5954
US

V. Phone/Fax

Practice location:
  • Phone: 254-526-8300
  • Fax:
Mailing address:
  • Phone: 254-526-8300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberW7052
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: