Organization
HAIR BY KOLA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYANA D HENNEGHAN (DIRECTOR)
(919) 349-4231
Entity
Organization
Contact information
Practice address
102 FLOWERS ST STE A, KNIGHTDALE, NC 27545-7832
(919) 349-4231
Mailing address
1260 SWEETGRASS ST, KNIGHTDALE, NC 27545-8161
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/06/2020
Last updated
12/06/2020
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