Most Relevant Information
Provider Data
| NPI Number: | 1003062803 |
| Provider Name: | KIMBERLY KATE MCCARTY LAC. |
| Entity Type: | Individual |
| Taxonomy Code: | 171100000X |
| Specialty: | Acupuncturist |
| License Number: | AC01042 |
Most Important Dates
| Enumeration Date: | 08/12/2008 |
| Last Updated: | 08/12/2008 |
Provider Practice Location
3769 SE MILWAUKIE AVE
PORTLAND
OR
972023804
Practice Location Phone/Fax
| Phone: | 5037242606 |
| Fax: |
Provider Mailing Location
9595 N LOMBARD ST
PORTLAND
OR
972032109
Provider Mailing Phone/Fax
| Phone: | 5037242606 |
| Fax: |