Individual
MISS KACY RAE KORCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
21 MALLARD CT, BECKLEY, WV 25801-3615
(304) 890-8020
Mailing address
21 MALLARD CT, BECKLEY, WV 25801-3615
(304) 890-8020
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
96223
WV
Other
Enumeration date
03/11/2014
Last updated
04/01/2020
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