Healthcare Provider Details

I. General information

NPI: 1942604541
Provider Name (Legal Business Name): NOEUN KA L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2014
Last Update Date: 04/05/2026
Certification Date: 04/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1870 N MAIN ST STE 104
CEDAR CITY UT
84721-7740
US

IV. Provider business mailing address

4172 W 150 N
CEDAR CITY UT
84720-7972
US

V. Phone/Fax

Practice location:
  • Phone: 435-704-1622
  • Fax:
Mailing address:
  • Phone: 508-837-9073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number14202560-1201
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: