Individual
MRS. LISA LEIGH KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1 UNION SQ W STE 715, NEW YORK, NY 10003-3303
(206) 406-0007
Mailing address
230 PARK PL APT 3P, BROOKLYN, NY 11238-4351
(206) 406-0007
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004584-1
NY
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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