Individual
KALYANA CR PALLERLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 PARK ST, BOWLING GREEN, KY 42101-1760
(270) 796-6540
(270) 796-6576
Mailing address
PO BOX 2697, BOWLING GREEN, KY 42102-7697
(270) 796-6540
(270) 796-6576
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TP792
KY
208M00000X
Hospitalist Physician
Primary
TP792
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2010
Last updated
07/19/2011
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