| NPI | 1619971991 |
|---|---|
| Former Name | KRIS HARLYN STOCKWELL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: WA AC00000511) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA LAc0000511) |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2019-09-18 |