Individual
MR. KIRK L ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, DIPL OM
Contact information
Practice address
417 COTSWOLD LN, WYNNEWOOD, PA 19096-2301
(610) 585-8628
Mailing address
417 COTSWOLD LN, WYNNEWOOD, PA 19096-2301
(610) 585-8628
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AK000934
PA
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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