Individual
KYMBERLY KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
928 BROADWAY STE 1001, NEW YORK, NY 10010-6073
(347) 885-8294
Mailing address
928 BROADWAY STE 1001, NEW YORK, NY 10010-6073
(347) 885-8294
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002892-1
NY
171100000X
Acupuncturist
9972
CA
Other
Enumeration date
08/21/2011
Last updated
08/21/2011
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