Provider Demographics
NPI:1871648139
Name:HUANG, KELIN (LAC)
Entity Type:Individual
Prefix:
First Name:KELIN
Middle Name:
Last Name:HUANG
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3373 MISSION ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-5027
Mailing Address - Country:US
Mailing Address - Phone:415-824-8264
Mailing Address - Fax:415-334-0988
Practice Address - Street 1:3373 MISSION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-5027
Practice Address - Country:US
Practice Address - Phone:415-824-8264
Practice Address - Fax:415-334-0988
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC4278171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist