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

Mr. Kevin Scott Wrathall, LAC

Individual provider Acupuncturist · NPI 1134893670

Mr. Kevin Scott Wrathall, LAC is an Acupuncturist in Fairfax, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

55 Hillside Dr
Fairfax, CA 94930-2005
Phone: (415) 457-1549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 13216 (CA)

Record details

NPI number1134893670
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorYes
NPI enumeratedAugust 8, 2021
Last updated in NPPESAugust 8, 2021
Certification dateAugust 8, 2021

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