Kerry Kajdasz Lac, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP3606 Issued in FL

Legal business name

KERRY KAJDASZ LAC, LLC

Practice address

351 Lake Rd
Venice, FL 34293-1714

Phone

(315) 751-9422

NPI assigned

Jul 6, 2015

Last updated

Jul 6, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kerry Ann Kajdasz, MSOM, DIPL.OM, L.AC.

Title

Owner

Phone

(315) 751-9422

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436140800000",
    "number": "1982087235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 LAKE RD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342931714",
            "telephone_number": "315-751-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 LAKE RD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342931714",
            "telephone_number": "315-751-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRY KAJDASZ LAC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-06",
        "last_updated": "2015-07-06",
        "status": "A",
        "authorized_official_last_name": "KAJDASZ",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-751-9422",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSOM, DIPL.OM, L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Kenealy, APRN
• Kelli Kennedy, PT, DPT
• Zoe Kennedy
• Marcia Keperling, SLP
• Christopher Kerio, DC
• Elena U Kesterson, PA
• Azima Tariq Khan, MD
• Jaffer J Khan, MD
• Tariq J Khan, MD
• Nilofer A. Khatri, D.M.D.

• Acupuncturist in Venice, FL
• Providers in Venice, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.