Individual
MS. SANDRA L. KAVALUKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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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