Individual
DR. YASHWANTH REDDY KOMERELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D., MPH
Contact information
Practice address
3920 10TH ST, GREAT BEND, KS 67530-3551
(620) 792-4467
Mailing address
1345 VAN FLEET LN, GREAT BEND, KS 67530-6313
(314) 789-0334
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-120625
KS
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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