Individual
MS. SANDRA L. KAVALUKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
401 E CHESTNUT ST UNIT 710, LOUISVILLE, KY 40202-5707
(502) 583-8303
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0325
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
53624
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
TN
Other
Enumeration date
01/08/2007
Last updated
06/18/2020
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