Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kmo Wellness 1, LLC

Organization Acupuncturist · NPI 1790391738

Kmo Wellness 1, LLC is an Acupuncturist in Des Peres, Missouri. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12133 Manchester Rd
Des Peres, MO 63131-4310
Phone: (605) 376-8737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X

Record details

NPI number1790391738
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Vanderpol — Franchise Owner · (605) 376-8737
Other names Modern Acupuncture; Modern Acupuncture
NPI enumeratedSeptember 16, 2020
Last updated in NPPESApril 24, 2021
Certification dateApril 24, 2021
Mailing address12133 Manchester Rd, Des Peres, MO 63131-4310

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