Provider Demographics
NPI:1902630031
Name:KAY'S DOULA SUPPORT SERVICES
Entity type:Organization
Organization Name:KAY'S DOULA SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAY
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-890-9320
Mailing Address - Street 1:3823 DORA DR SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30082-3623
Mailing Address - Country:US
Mailing Address - Phone:678-890-9320
Mailing Address - Fax:800-883-5192
Practice Address - Street 1:3823 DORA DR SE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30082-3623
Practice Address - Country:US
Practice Address - Phone:678-890-9320
Practice Address - Fax:800-883-5192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-30
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty