Organization
KILLA STYLES BY KAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIOSHA SMITH LVN (OWNER)
(916) 513-8971
Entity
Organization
Contact information
Practice address
1440 ETHAN WAY STE 34, SACRAMENTO, CA 95825-2225
(916) 513-8971
Mailing address
1440 ETHAN WAY STE 43, SACRAMENTO, CA 95825-2225
(916) 513-8971
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/09/2023
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