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NPI Code Detail

MEDICARE: KERRI KUHLSEN L.AC.,

MEDICARE: KERRI KUHLSEN L.AC.,
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist003040NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1542080867AOTHERNJHORIZON

General Provider Information

NPI Number : 1427156462
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRI KUHLSEN L.AC.,
Provider Business Mailing Address
First Line : 14 MORRISON AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10310-3012
Country : US
Telephone Number : 917-826-0054
Fax Number :
Provider Business Practice Location Address
First Line : 33 RICHMOND HILL RD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-5950
Country : US
Telephone Number : 917-826-0054
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 01/14/2021

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