Organization
K'NAI BEAUTY SUPPLY & SALON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER JEFFERSON (OWNER)
(270) 777-6321
Entity
Organization
Contact information
Practice address
1254 US 31W BYP, BOWLING GREEN, KY 42101-2577
(270) 938-5354
Mailing address
1302 WOODHURST ST, BOWLING GREEN, KY 42104-3316
(270) 777-6321
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
11/28/2021
Last updated
11/28/2021
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