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Organization
KERRY KOTT LAC LLC
Active
Organization
KERRY KOTT LAC LLC
Active
Other names
Pure Elements Healing
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY KOTT LAC (ACUPUNCTURE PHYSICIAN)
(989) 928-4859
Entity
Organization
Contact information
Practice address
6105 MEMORIAL HWY STE J, TAMPA, FL 33615-4574
(813) 833-2299
Mailing address
6105 MEMORIAL HWY STE J, TAMPA, FL 33615-4574
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2983
FL
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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