Provider Demographics
NPI:1154731370
Name:SUSTAINING HEALTH ACUPUNCTURE
Entity type:Organization
Organization Name:SUSTAINING HEALTH ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KINZIG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:859-475-6841
Mailing Address - Street 1:2985 LIBERTY RD UNIT 14104
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-4620
Mailing Address - Country:US
Mailing Address - Phone:859-475-6841
Mailing Address - Fax:
Practice Address - Street 1:2985 LIBERTY RD UNIT 14104
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-4620
Practice Address - Country:US
Practice Address - Phone:859-475-6841
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-28
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty