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KELLY KROTINE LICENSED ACUPUNCTURIST NPI 1093076721


NPI Information

NPI: 1093076721
Provider Name: KELLY KROTINE LICENSED ACUPUNCTURIST
Classification: Acupuncturist - 171100000X
Entity Type: Organization
Address:
4910 VAN NUYS BLVD. SUITE 104
SHERMAN OAKS, CA
ZIP 91403
Phone: (818) 981-3440
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KELLY KROTINE LICENSED ACUPUNCTURIST is an acupuncturist in Sherman Oaks, CA. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. KELLY KROTINE LICENSED ACUPUNCTURIST NPI is 1093076721. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4910 VAN NUYS BLVD. SUITE 104
SHERMAN OAKS, CA
ZIP 91403
Phone: (818) 981-3440
Fax: (818) 981-0436

The provider's authorized official is Kelly Krotine .
The authorized official title is Chief Executive/financial Officer and has the following contact phone number (818) 981-3440.

The enumeration date for this NPI number is 5/29/2012 and was last updated on 5/29/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171100000XAcupuncturist14757CALIFORNIAYes

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: 4/28/2024

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