Mariegrace Killpack, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

16859 Issued in CA

Practice address

2000 Van Ness Ave
Ste. 708
San Francisco, CA 94109-3023

Phone

(415) 890-6505

NPI assigned

Feb 26, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Grace Killpack Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1114387545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 24TH ST",
            "address_2": "# 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941143642",
            "telephone_number": "415-706-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 VAN NESS AVE",
            "address_2": "STE. 708",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941093023",
            "telephone_number": "415-890-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLPACK",
        "first_name": "MARIEGRACE",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "16859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "KILLPACK",
            "credential": "L.AC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shelby Clare Kilkenny
• John Killam, DDS
• Kevin Lee Killian, LMHP
• Susanne Isabel Killing, APRN, BC
• Jeannie Killmer
• Carmen Kilpatrick, MD
• Kim Newell Green M.D., P.C.
• So Yeon Kim-Castillo, LMFT
• Aesun Kim, PHARMD
• Alan Kim, PHARM.D.

• Acupuncturist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.