KWAO GARETH AHELEGBE (NPI# 1912427782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912427782 |
| Entity Type | Individual |
| Full Name | KWAO GARETH AHELEGBE |
| Credential | L.AC |
| Practice Address |
6311 Wayzata Blvd Ste 240 St Louis Park MN 55416-2683 |
| Mailing Address |
305 Cottage Ave W Apt 312 Saint Paul MN 55117-4388 |
| Practice Telephone | 9525456408 |
| Mailing Telephone | 6122484670 |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | MN | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 255 Mn-7, Hutchinson, MN 55350 | 6127592884 |
| Street Address |
6311 WAYZATA BLVD STE 240 |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55416-2683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740525724 | Melody Ann Pekarek | Acupuncturist | 8606 W 34th St, St Louis Park, MN 55426-3870 | 2012-12-03 |
| 1659664944 | Xinsong N/a Li | Acupuncturist | 1660 Highway 100 S Ste 338, St Louis Park, MN 55416-1573 | 2011-05-19 |
| 1023318243 | Eleonora Novik | Acupuncturist | 4331 Excelsior Blvd, St Louis Park, MN 55416-4811 | 2010-10-22 |
| 1700051992 | Matthew John Bierschbach | Acupuncturist | 4820 Minnetonka Blvd Ste 305, St Louis Park, MN 55416-5708 | 2008-04-28 |
| 1073635231 | Tcm Health Center Inc. | Acupuncturist | 3710 Grand Way, St Louis Park, MN 55416-5198 | 2007-04-06 |
| 1699804047 | Vicky Lynn Radel | Acupuncturist | 6311 Wayzata Blvd, Suite 210, St Louis Park, MN 55416-1209 | 2007-03-03 |
| 1578528303 | Evelyn O. Jaffee | Acupuncturist | 5821 Cedar Lake Rd S, St Louis Park, MN 55416-1487 | 2006-04-17 |
| 1427689637 | Greta Hazer | Acupuncturist | 4201 Excelsior Blvd, St Louis Park, MN 55416-4728 | 2020-01-28 |
| 1265916811 | Kierstin Leigh Olson | Acupuncturist | 3546 Dakota Ave S, St Louis Park, MN 55416-2313 | 2018-09-19 |
| 1144710906 | Donna Denise Sandberg | Acupuncturist | 4330 Cedar Lake Rd S, St Louis Park, MN 55416-3700 | 2018-05-16 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
Please comment or provide details below to improve the information on KWAO GARETH AHELEGBE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.