MR. KELLY M MCCONVILLE M.S. TCM NPI 1164471850

NPI Information

NPI: 1164471850
Provider Name: MR. KELLY M MCCONVILLE, M.S. TCM
Classification: Acupuncturist - 171100000X
Entity Type: Individual
Address:
23678 SAN VICENTE RD
RAMONA, CA
ZIP 92065
Phone: (760) 735-0983
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MR. Kelly M Mcconville, M.S. TCM is an acupuncturist in Ramona, 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. MR. Kelly M Mcconville, M.S. TCM NPI is 1164471850. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

23678 SAN VICENTE RD
RAMONA, CA
ZIP 92065-245
Phone: (760) 735-0983

The enumeration date for this NPI number is 5/9/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171100000X	Acupuncturist		AC 5534	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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