MEDICARE: KIMBERLY ANN SILSBY L.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
1	171100000X	Acupuncturist	9062	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9062	OTHER	CA	CA ACUPUNCTURE BOARD LICENSE NUMBER

General Provider Information

NPI Number	:	1497768055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY ANN SILSBY L.AC.

Provider Business Mailing Address
First Line	:	6910 DOUGLAS BLVD STE C
Second Line	:
City	:	GRANITE BAY
State	:	CA
Zip	:	95746-6276
Country	:	US
Telephone Number	:	916-872-1265
Fax Number	:

Provider Business Practice Location Address
First Line	:	6910 DOUGLAS BLVD STE C
Second Line	:
City	:	GRANITE BAY
State	:	CA
Zip	:	95746-6276
Country	:	US
Telephone Number	:	916-872-1265
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	06/10/2025

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Directions to “ KIMBERLY ANN SILSBY L.AC.” Practice Location

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