Organization · NPI-2
Acupuncture & Alternative Medicine
Point of Service · Clearwater, FL
NPI number1841544152
StatusActive
Last updated in NPPESNov 8, 2012
Details
- NPI
- 1841544152
- Entity type
- Organization (NPI-2)
- Legal business name
- Acupuncture & Alternative Medicine
- Organization subpart
- No
- Enumeration date
- Nov 8, 2012
- Last updated
- Nov 8, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305S00000X | Point of Service | AP3176 | FL | Yes |
Other names
- Kp Acupuncture (Doing Business As)
Practice location
112 Evelyn AvenueClearwater, FL 33765
Phone 813-765-2493
Mailing address
112 Evelyn AvenueClearwater, FL 33765
Phone 813-765-2493
Authorized official
Kelly Potts
Acupuncturist
8137652493
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