KP Acupuncture, Inc.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

3176 Issued in FL

Legal business name

KP ACUPUNCTURE, INC.

Practice address

112 Evelyn Ave
Clearwater, FL 33765-4303

Phone

(813) 765-2493

NPI assigned

Dec 12, 2012

Last updated

Dec 12, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelly Ann Potts, DOM, APNPI 1124372412

Title

Acupuncture Physician

Phone

(813) 765-2493

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Ann Potts, DOM AP

  • Acupuncturist
  • Clearwater, FL
  • NPI 1124372412
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1093051450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 EVELYN AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337654303",
            "telephone_number": "813-765-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 EVELYN AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337654303",
            "telephone_number": "813-765-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KP ACUPUNCTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-12",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "POTTS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ACUPUNCTURE PHYSICIAN",
        "authorized_official_telephone_number": "813-765-2493",
        "authorized_official_credential": "DOM, AP"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "3176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelique Koutsourais
• Jamie Kovacs
• Colleen Kowalczyk
• Robert John Kowalski, MD
• Taylor Kozell
• KR Medical Solutions (Pandenimm LLC)
• Christopher L Kraft, MD
• Barry B. Kraus, M. D.
• Matthew Krause, PA-C
• Jodi Rebecca Kraynak, PT

• Preferred Provider Organization in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.