Dr Kan Wellness Center LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

DR KAN WELLNESS CENTER LLC

Practice address

1717 K St NW Ste 900
Washington, DC 20006-5349

Phone

(571) 207-6768

Fax

(202) 831-3132

NPI assigned

Jun 15, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Teerawong Kasiolarn, ND

Title

Naturopathic Physician

Phone

(571) 207-6768

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1679258834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 MEADOWVIEW LN",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863847",
            "telephone_number": "571-207-6768",
            "fax_number": "202-831-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 K ST NW STE 900",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200065349",
            "telephone_number": "571-207-6768",
            "fax_number": "202-831-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KAN WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "KASIOLARN",
        "authorized_official_first_name": "TEERAWONG",
        "authorized_official_title_or_position": "NATUROPATHIC PHYSICIAN",
        "authorized_official_telephone_number": "571-207-6768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• Health Service Clinic/Center in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.