KENYA DOMINIC HAIR LOSS SPECIALIST NPI 1760907968

NPI Information

NPI: 1760907968
Provider Name: KENYA DOMINIC, HAIR LOSS SPECIALIST
Classification: Specialist - 1744P3200X
Entity Type: Individual

Specialization: Prosthetics Case Management

Address:
445 E.G. MILES PARKWAY STE 207
HINESVILLE, GA
ZIP 31313
Phone: (912) 877-7797
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Kenya Dominic, HAIR LOSS SPECIALIST is a prosthetics case management specialist in Hinesville, GA. Kenya Dominic, HAIR LOSS SPECIALIST NPI is 1760907968. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

445 E.G. MILES PARKWAY STE 207
HINESVILLE, GA
ZIP 31313
Phone: (912) 877-7797
Fax: (912) 877-7797

The enumeration date for this NPI number is 8/8/2017 and was last updated on 8/8/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1744P3200X	Specialist	Prosthetics Case Management			No
2	1744P3200X	Specialist	Prosthetics Case Management		GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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