PK Wellness, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01223 Issued in TX

Legal business name

PK WELLNESS, LLC

Practice address

1011 W 11TH St
Austin, TX 78703-4931

Phone

(512) 650-8880

NPI assigned

Jul 28, 2015

Organization subpart

No

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

Authorized official

Name

Phyllis Kung, L.AC.

Title

Owner

Phone

(512) 650-8880

Specialties & licenses 1

Addresses

Other names 1

• PK Acupuncture & Wellness Doing business as

Locations

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1891170171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W 11TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034931",
            "telephone_number": "512-650-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W 11TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034931",
            "telephone_number": "512-650-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PK WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "KUNG",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-650-8880",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC01223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PK Acupuncture & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.