Levi Adam Koral, DSOM, L.OM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

OM000275 Issued in PA

Practice address

900 Rutter Ave
Forty Fort, PA 18704-4962

Phone

(570) 262-1133

NPI assigned

Feb 14, 2020

Last updated

Feb 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1962035212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 BUTLER ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187044720",
            "telephone_number": "570-262-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 RUTTER AVE",
            "city": "FORTY FORT",
            "state": "PA",
            "postal_code": "187044962",
            "telephone_number": "570-262-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORAL",
        "first_name": "LEVI",
        "middle_name": "ADAM",
        "credential": "DSOM, L.OM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "OM000275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "levi@thekoralclinic.com",
            "affiliation": "N",
            "endpointDescription": "Business Email Hipaa compliant",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure Business Email",
            "address_1": "900 Rutter Ave",
            "city": "Forty Fort",
            "state": "PA",
            "country_code": "US",
            "postal_code": "187044962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erin Kain
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• Alexandra Kester, M.S, CF-SLP
• Kameitri Leahn Knight
• Ron Konecke, M.D.
• Anne Larson, RN
• Laser and Cosmetic Surgeons PC
• Casey Laskaris
• Stephen Mark Lawrence, D.M.D
• Elizabeth Leake, BCBA

• Acupuncturist in Forty Fort, PA
• Providers in Forty Fort, PA by specialty
• Acupuncturist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.