MEDICARE: KANOK LI

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
1	171100000X	Acupuncturist	AC01673	TX

General Provider Information

NPI Number	:	1568998136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KANOK LI

Provider Business Mailing Address
First Line	:	7500 VAIL VALLEY DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78749-2924
Country	:	US
Telephone Number	:	512-466-0224
Fax Number	:

Provider Business Practice Location Address
First Line	:	7500 VAIL VALLEY DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78749-2924
Country	:	US
Telephone Number	:	512-466-0224
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2017
Last Update Date	:	05/07/2017

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Directions to “ KANOK LI ” Practice Location

Language	Start Address	Practice Location

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