MEDICARE: DR. SHANDY KENT CLINE L.AC.,D.O.M.

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	235	NC

General Provider Information

NPI Number	:	1700011665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHANDY KENT CLINE L.AC.,D.O.M.

Provider Business Mailing Address
First Line	:	130 WALK ABOUT LN
Second Line	:
City	:	TAYLORSVILLE
State	:	NC
Zip	:	28681-6702
Country	:	US
Telephone Number	:	828-495-4149
Fax Number	:

Provider Business Practice Location Address
First Line	:	74 8TH ST SE STE 235
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602-1121
Country	:	US
Telephone Number	:	828-302-4592
Fax Number	:

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

Provider Enumeration Date	:	05/21/2009
Last Update Date	:	01/24/2019

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Directions to “ DR. SHANDY KENT CLINE L.AC.,D.O.M.” Practice Location

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