Levi Adam Koral, DSOM, L.OM
Individual provider Active NPI Acupuncturist · Forty Fort, PA
NPI 1962035212 · NPPES record last updated Feb 14, 2020
Key facts
- NPI
- 1962035212
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- OM000275 (PA)
- Practice address
- 900 Rutter Ave
Forty Fort, PA 18704-4962 - Phone
- (570) 262-1133
- NPI assigned
- Feb 14, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| OM000275 | PA | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist |
171100000X | OM000275 | PA | Yes |
Addresses
Primary practice location
900 Rutter Ave
Forty Fort, PA 18704-4962
Mailing address
67 Butler St
Kingston, PA 18704-4720
Phone (570) 262-1133
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | levi@thekoralclinic.com | Direct |
Other providers in Forty Fort, PA
- Erin Kain
- Karen Cooper MD
- Alexandra Kester
- Kameitri Leahn Knight
- Ron Konecke
- Anne Larson
- Laser and Cosmetic Surgeons PC
- Casey Laskaris
- Stephen Mark Lawrence
- Elizabeth Leake
All providers in Forty Fort, PA · Acupuncturist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2020. 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.