Healthcare Provider Details

I. General information

NPI: 1851217640
Provider Name (Legal Business Name): KELLY MARIE ARMSTRONG L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 DEVONSHIRE DR STE B
ENCINITAS CA
92024-5136
US

IV. Provider business mailing address

540 RIBBON BEACH WAY UNIT 294
OCEANSIDE CA
92058-7207
US

V. Phone/Fax

Practice location:
  • Phone: 760-479-7333
  • Fax:
Mailing address:
  • Phone: 858-382-5001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number20668
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: