=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124992763
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | XK ACUPUNCTURE WELLNESS P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/04/2025
-----------------------------------------------------
Last Update Date | 10/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1 BARSTOW RD STE P14
-----------------------------------------------------
City | GREAT NECK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11021-3510
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-998-0006
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1 BARSTOW RD STE P14
-----------------------------------------------------
City | GREAT NECK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11021-3510
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-998-0006
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ACUPUNCTURIST
-----------------------------------------------------
Name | DR. XIAOHONG KE
-----------------------------------------------------
Credential | L.AC
-----------------------------------------------------
Telephone | 917-518-3769
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------