KCMP Acupuncture, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

KCMP ACUPUNCTURE, LLC

Practice address

3020 Tall Grass Dr
Naperville, IL 60564-8232

Phone

(630) 527-0621

Fax

(630) 527-0621

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Kenneth C Pang, M.D.

Title

President

Phone

(630) 527-0621

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366489155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 TALL GRASS DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648232",
            "telephone_number": "630-527-0621",
            "fax_number": "630-527-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 TALL GRASS DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648232",
            "telephone_number": "630-527-0621",
            "fax_number": "630-527-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KCMP ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PANG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-527-0621",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bassam Kawadry, MD
• Dorota Kawczynska-Pstrucha, PT
• Stephanie Kay, M.D.
• Kaz M Zymantas DDS LTD
• Ismail Kazmi
• Maizie Keane
• Alina Keegan, LCPC, NCC
• Colleen Ann Keegan, D.O.
• Joseph B. Keegan, PSYD
• Kathryn Keeley, PA-C

• Anesthesiology Physician in Naperville, IL
• Providers in Naperville, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.