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Organization
KELLY KROTINE LICENSED ACUPUNCTURIST
Active
Organization
KELLY KROTINE LICENSED ACUPUNCTURIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY KROTINE L.AC. (CHIEF EXECUTIVE/FINANCIAL OFFICER)
(818) 981-3440
Entity
Organization
Contact information
Practice address
4910 VAN NUYS BLVD. SUITE 104, SHERMAN OAKS, CA 91403
(818) 981-3440
(818) 981-0436
Mailing address
4910 VAN NUYS BLVD. SUITE 104, SHERMAN OAKS, CA 91403
(818) 981-3440
(818) 981-0436
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
14757
CA
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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