Provider Demographics
NPI:1306480371
Name:KAI DAVIS PROSTHETICS LLC
Entity type:Organization
Organization Name:KAI DAVIS PROSTHETICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KAI
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:CP
Authorized Official - Phone:214-897-3585
Mailing Address - Street 1:500 N COIT RD STE 2078
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-6221
Mailing Address - Country:US
Mailing Address - Phone:214-897-3585
Mailing Address - Fax:214-242-2240
Practice Address - Street 1:500 N COIT RD STE 2078
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-6221
Practice Address - Country:US
Practice Address - Phone:214-897-3585
Practice Address - Fax:214-242-2240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-03
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetistGroup - Single Specialty