| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KELLY KROTINE | 1295362630 | 2024-11-08 |
Kelly Krotine is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1295362630. Registration indicates Kelly Krotine is a provider of services with a specialization in Other Service Providers, Acupuncturist (Acupuncturist, ) (All Other Specialties & Provider Types, ) (Acupuncturist, Other Service Providers)
| Entity Type | Individual |
| Provider Name | Kelly Krotine LAC |
| Practice Office Address | 4910 VAN NUYS BLVD STE 104 SHERMAN OAKS, CA US |
| Practice Office Telephone | 8189813440 |
| Mailing Address | 4910 VAN NUYS BLVD STE 104 SHERMAN OAKS, CA 914031753 US |
| Other URL [] | OfficeAlly |
| Code | Practice | License No State |
|---|---|---|
| 171100000X PRIMARY | Other Service Providers Acupuncturist Acupuncturist All Other Specialties & Provider Types Acupuncturist Other Service Providers | 14757
CA |