MEDICARE: CHRISTINA KELLEN 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	003847	NY

General Provider Information

NPI Number	:	1841437928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA KELLEN L.AC.

Provider Business Mailing Address
First Line	:	6 LANCASTER RD
Second Line	:
City	:	ISLAND PARK
State	:	NY
Zip	:	11558-2136
Country	:	US
Telephone Number	:	516-670-5911
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 LANCASTER RD
Second Line	:
City	:	ISLAND PARK
State	:	NY
Zip	:	11558-2136
Country	:	US
Telephone Number	:	516-670-5911
Fax Number	:

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

Provider Enumeration Date	:	01/12/2009
Last Update Date	:	03/18/2026

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Directions to “ CHRISTINA KELLEN L.AC.” Practice Location

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