Individual
DR. KENNEDY YALAMANCHILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
774 CHRISTIANA RD, STE 202, NEWARK, DE 19713-4236
(302) 366-7671
Mailing address
774 CHRISTIANA RD, STE 202, NEWARK, DE 19713-4236
(302) 366-7671
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C1-0006201
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001093901
—
DE
Enumeration date
10/15/2005
Last updated
09/16/2010
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