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NPI Code Detail

MEDICARE: KENNETH CHOW LIC. AC

MEDICARE: KENNETH CHOW LIC. AC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistACA. C20016LA

General Provider Information

NPI Number : 1275862229
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNETH CHOW LIC. AC
Provider Business Mailing Address
First Line : 15049 FLORIDA BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70819-2602
Country : US
Telephone Number : 225-229-5123
Fax Number : 225-218-0159
Provider Business Practice Location Address
First Line : 15049 FLORIDA BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70819-2602
Country : US
Telephone Number : 225-229-5123
Fax Number : 225-218-0159
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2009
Last Update Date : 12/21/2009

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Directions to “ KENNETH CHOW LIC. AC” Practice Location

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