Organization
KP ACUPUNCTURE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ANN POTTS DOM, AP (ACUPUNCTURE PHYSICIAN)
(813) 765-2493
Entity
Organization
Contact information
Practice address
112 EVELYN AVE, CLEARWATER, FL 33765-4303
(813) 765-2493
Mailing address
112 EVELYN AVE, CLEARWATER, FL 33765-4303
(813) 765-2493
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
3176
FL
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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