Most Relevant Information
Provider Data
| NPI Number: | 1003577735 |
| Provider Name: | KIVA BASSETT L.AC., M.AC. |
| Entity Type: | Individual |
| Taxonomy Code: | 171100000X |
| Specialty: | Acupuncturist |
| License Number: | U01781 |
Most Important Dates
| Enumeration Date: | 01/05/2022 |
| Last Updated: | 01/05/2022 |
Provider Practice Location
13 W POTOMAC ST
BRUNSWICK
MD
217161112
Practice Location Phone/Fax
| Phone: | 2407538044 |
| Fax: |
Provider Mailing Location
34942 CHARLES TOWN PIKE
HILLSBORO
VA
201321816
Provider Mailing Phone/Fax
| Phone: | 2407538044 |
| Fax: |