MEDICARE: DR. KRISTEN VOGET D.AC. 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
1	171100000X	Acupuncturist	AK001363	PA

General Provider Information

NPI Number	:	1689391211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTEN VOGET D.AC. L.AC.

Provider Business Mailing Address
First Line	:	1731 TITAN ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-3033
Country	:	US
Telephone Number	:	908-268-5039
Fax Number	:

Provider Business Practice Location Address
First Line	:	1608 WALNUT ST STE 1700
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-5410
Country	:	US
Telephone Number	:	215-600-0062
Fax Number	:

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

Provider Enumeration Date	:	10/25/2022
Last Update Date	:	10/25/2022

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