Kelly Stock

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 17130 Issued in CA

Practice address

1030 Brown Ave
Lafayette, CA 94549-3902

Phone

(510) 359-4102

NPI assigned

Sep 17, 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

• Kelly Stock Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1474070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474070400000",
    "number": "1164970265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 GUILFORD RD",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946113805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 BROWN AVE",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493902",
            "telephone_number": "510-359-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCK",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-17",
        "last_updated": "2016-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 17130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "STOCK",
            "credential": "MSOM, L.AC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Matthew Jacob Stephen, PA-C
• Bonnie Nelson Stephens, B.S.
• Ian Stevens
• Andrew Lawson Stewart, D.C.
• Stirling Medical Services Inc
• Sheila Kitson Stosick, MS, OTR/L
• Richard Stoykovich, FNP
• Alexus Strickland
• Jordyn Stromback, M.A., CCC-SLP
• Stuart Harris Bay Area Physical Therapy

• Acupuncturist in Lafayette, CA
• Providers in Lafayette, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.