Kelly Legendre, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

LAC-000837 Issued in AZ

Practice address

6440 E Broadway Blvd
Tucson, AZ 85710-3504

Phone

(520) 881-0827

NPI assigned

Jul 17, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Woods Former 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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1205515145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 N BEDFORD DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103504",
            "telephone_number": "520-881-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGENDRE",
        "first_name": "KELLY",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "LAC-000837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "WOODS",
            "credential": "LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leeway Enterprise
• Karren Lefevre, NNP
• Robert Bruce Leff, M.D.
• Legacy Iup, LLC
• Legacy Primary Healthcare, LLC
• Steven L Legendre, M.A,,M.P.A.,LPC
• John W Leggio, MA LISAC
• Christine Naomi Legler, M.D.
• Angela Legrand, LMT
• Edith Luz Leguizamo, PMHNP

• Acupuncturist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Acupuncturist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.