Healthcare Provider Details

I. General information

NPI: 1811806680
Provider Name (Legal Business Name): KAITLYN LLOYD-STYLES LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 SAINT MARKS AVE APT 4A
BROOKLYN NY
11216-3789
US

IV. Provider business mailing address

720 SAINT MARKS AVE APT 4A
BROOKLYN NY
11216-3789
US

V. Phone/Fax

Practice location:
  • Phone: 917-500-4310
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number007971
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: