Provider Demographics
NPI:1174322366
Name:HOLISTIC QIGONG FOUNDATION
Entity type:Organization
Organization Name:HOLISTIC QIGONG FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:MMQ, DCEM, DMQ
Authorized Official - Phone:484-452-4089
Mailing Address - Street 1:321 S VALLEY FORGE RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:DEVON
Mailing Address - State:PA
Mailing Address - Zip Code:19333-1380
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:321 S VALLEY FORGE RD
Practice Address - Street 2:SUITE 4
Practice Address - City:DEVON
Practice Address - State:PA
Practice Address - Zip Code:19333-1380
Practice Address - Country:US
Practice Address - Phone:484-452-4089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center