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KMO WELLNESS 1 LLC NPI 1790391738


NPI Information

NPI: 1790391738
Provider Name: KMO WELLNESS 1, LLC

Doing Business As: MODERN ACUPUNCTURE

Classification: Acupuncturist - 171100000X
Entity Type: Organization
Address:
12133 MANCHESTER RD
DES PERES, MO
ZIP 63131
Phone: (605) 376-8737
Get Directions

KMO WELLNESS 1, LLC is an acupuncturist in Des Peres, MO. 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. KMO WELLNESS 1, LLC NPI is 1790391738. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Modern Acupuncture.

The provider's business location address is:

12133 MANCHESTER RD
DES PERES, MO
ZIP 63131-310
Phone: (605) 376-8737

The provider's authorized official is Ryan Vanderpol .
The authorized official title is Franchise Owner and has the following contact phone number (605) 376-8737.

The enumeration date for this NPI number is 9/16/2020 and was last updated on 4/24/2021.


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
1171100000XAcupuncturistYes

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: 5/5/2024

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