Kelly M Mcconville M.S. TCM

NPI 1164471850 - Acupuncturist - 171100000X

NPI Details
NPI 1164471850
Gender Male
Enumeration Date 05/09/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
23678 SAN VICENTE RD
RAMONA CA, 92065-4245, US
Phone (760) 735-0983
Fax
Business Location
13242 TRIUMPH DR
POWAY CA, 92064-2980, US
Phone (760) 735-0983
Fax
Toxanomy
Taxonomy Code 171100000X
License State California
License Number AC 5534
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According to our database, Mr. Kelly M Mcconville M.S. TCM NPI is 1164471850, taxonomy code is 171100000X and license number is AC 5534, license state is located at California. Kelly M Mcconville M.S. TCM physically located at 23678 San Vicente Rd, Ramona CA, 92065-4245. NPI Number Kelly M Mcconville M.S. TCM has the Individual type.

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1164471850 NPI number is provided on an as is basis without warranty of any kind. 1164471850 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly M Mcconville M.S. TCM are for informational purposes only.