ALEXANDER VADIMOVICH KORNEL (NPI# 1386070449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386070449 |
| Entity Type | Individual |
| Full Name | ALEXANDER VADIMOVICH KORNEL |
| Other Name | ALEXANDER VADIMOVICH KRIVOBOK |
| Credential | LAC |
| Practice Address |
4570 W 77th St Ste 140 Edina MN 55435-5004 |
| Practice Telephone | 9525008733 |
| Practice Fax Number | 7635428142 |
| Mailing Telephone | 9525008733 |
| Mailing Fax Number | 7635428142 |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2013-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 1619 | MN | Other Service Providers |
| Street Address |
4570 W 77TH ST STE 140 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-5004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093215295 | Yulian Yang | Acupuncturist | 4570 W 77th St Ste 140, Edina, MN 55435-5004 | 2018-02-14 |
| 1245770510 | Lesley Simonson | Massage Therapist | 4570 W 77th St Ste 140, Edina, MN 55435-5004 | 2017-03-06 |
| 1225413594 | Min Kang Acupuncture LLC | Acupuncturist | 4570 W 77th St Ste 140, Edina, MN 55435-5004 | 2015-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| 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 |
|---|---|---|---|---|
| 1619495108 | Rebecca Marie Petersen | Acupuncturist | 7550 France Ave S Ste 240, Edina, MN 55435-4821 | 2017-09-05 |
| 1295157113 | Minnesota Community Acupuncture-edina, Inc. | Acupuncturist | 5500 Lincoln Dr, Ste 100, Edina, MN 55436-1651 | 2014-01-12 |
| 1881967461 | Cheryl Lynn Mutschler | Acupuncturist | 6421 Warren Ave S, Edina, MN 55439-1245 | 2012-02-13 |
| 1962645200 | Nicole Cullinan | Acupuncturist | 7250 France Ave S Ste 308, Edina, MN 55435-4313 | 2009-04-16 |
| 1225278898 | Andrea Moonen | Acupuncturist | 5715 Tracy Ave, Edina, MN 55436-2234 | 2009-02-23 |
| 1225274004 | Ming Chu Benson | Acupuncturist | 6950 France Ave S Ste 10, Edina, MN 55435-2016 | 2008-12-27 |
| 1669630695 | Wei Liu | Acupuncturist | 6550 York Ave S Ste 417, Edina, MN 55435-2335 | 2008-05-27 |
| 1750436192 | Tao Gong | Acupuncturist | 6545 France Ave S # C-21, Edina, MN 55435-2131 | 2007-01-24 |
| 1669012654 | Zuobiao Yuan | Acupuncturist | 7550 France Ave S Ste 220, Edina, MN 55435-4762 | 2020-01-08 |
| 1316505845 | Ying Wang | Acupuncturist | 7550 France Ave S Ste 240, Edina, MN 55435-4821 | 2019-05-30 |
| Find all providers in EDINA | ||||
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| 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.