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Individual

SEYED KAMRAN HEJAZI KENARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1025 SAINT JOSEPH LN, LONDON, KY 40741-8345
(606) 864-4030
(606) 864-0115
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7825

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55943
KY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
55943
KY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
TP267
KY
207RP1001X
Pulmonary Disease Physician
Primary
55943
KY
207RP1001X
Pulmonary Disease Physician
TP267
KY

Other

Enumeration date
09/16/2014
Last updated
09/30/2021
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