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Individual
MOLLY J KANKANALA
Active
Individual
MOLLY J KANKANALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MSPAS, MPH,
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09573
TX
363AS0400X
Surgical Physician Assistant
PA23033
CA
363AS0400X
Surgical Physician Assistant
—
TX
Other
Enumeration date
06/14/2013
Last updated
11/02/2022
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