Kalie Darnell Hair Team

Primary specialty

SpecialistTaxonomy code 174400000X

License

CO092929 Issued in GA

Legal business name

KALIE DARNELL HAIR TEAM

Practice address

425 Sigman Rd NW
Suite 120
Conyers, GA 30012-3635

Phone

(678) 520-8392

NPI assigned

Feb 26, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kalie D Richardson, CERTIFIED

Title

Specialist

Phone

(678) 520-8392

Specialties & licenses 1

Addresses

Other names 1

• Kalie Darnell Hair Designs Salon Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1154713253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 SIGMAN RD NW",
            "address_2": "SUITE 120",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123635",
            "telephone_number": "678-520-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 SIGMAN RD NW",
            "address_2": "SUITE 120",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123635",
            "telephone_number": "678-520-8392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALIE DARNELL HAIR TEAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "KALIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SPECIALIST",
        "authorized_official_telephone_number": "678-520-8392",
        "authorized_official_credential": "CERTIFIED"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "CO092929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kalie Darnell Hair Designs Salon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amisha Atul Kadiwar, MD
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• Robert Gordon Karker, D.M.D.
• Yilikal Tassew Kassa, MD

• Specialist in Conyers, GA
• Providers in Conyers, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.