Individual
KEVIN SPEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
165 N VILLAGE AVE, SUITE 4, ROCKVILLE CENTRE, NY 11570-3761
(516) 764-2222
(270) 514-2698
Mailing address
165 N VILLAGE AVE, SUITE 4, ROCKVILLE CENTRE, NY 11570-3761
(516) 764-2222
(270) 514-2698
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003156-1
NY
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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