Yang Gong X, D. AC
Individual provider Active NPI Acupuncturist · Iola, KS
NPI 1780128017 · NPPES record last updated Dec 6, 2016
Key facts
- NPI
- 1780128017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- Practice address
- 204 S Buckeye St
Iola, KS 66749-3302 - Phone
- (620) 363-1685
- NPI assigned
- Dec 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Family Acupuncture LLC | Acupuncturist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | KS | Yes | |
| Acupuncturist | 171100000X |
Addresses
Primary practice location
204 S Buckeye St
Iola, KS 66749-3302
Mailing address
204 S Buckeye St
23
Iola, KS 66749-3302
Phone (620) 363-1685
Other providers in Iola, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2016. 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.