NPI Code Details Logo

NPI 1477793719

NPI 1477793719 : KIMBERLY ANN NEUMANN LAC, DIPLOM : OAKLAND, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1477793719
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    KIMBERLY ANN NEUMANN LAC, DIPLOM
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/26/2009
-----------------------------------------------------
    Last Update Date     |    04/18/2012
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4315 PIEDMONT AVE SUITE 204
-----------------------------------------------------
    City                 |    OAKLAND
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94611-4776
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    510-485-9355
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    691 28TH AVE 
-----------------------------------------------------
    City                 |    SAN FRANCISCO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94121-2816
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    415-225-1427
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    171100000X
-----------------------------------------------------
    Taxonomy Name        |    Acupuncturist
-----------------------------------------------------
    License Number       |    12886
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.