Cynthia Redfern Mikelson, LAC
Individual provider Active NPI Acupuncturist · Buellton, CA
NPI 1467708404 · NPPES record last updated Jul 27, 2012
Key facts
- NPI
- 1467708404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- AC9535 (CA)
- Practice address
- 195 W Highway 246
Buellton, CA 93427-9459 - Phone
- (805) 686-8555
- Fax
- (805) 686-8556
- NPI assigned
- Jul 27, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC9535 | CA | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC9535 | CA | Yes |
Addresses
Primary practice location
195 W Highway 246
Buellton, CA 93427-9459
Mailing address
195 W Highway 246
Buellton, CA 93427-9459
Phone (805) 686-8555
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC9535 | Other | CA | STATE MEDICAL LICENSE |
Other names
- Cynthia Cheney Mikelson
Other providers in Buellton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.