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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