Individual
KAMAKSHI VAIDYANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 HOSPITAL DR # 58.00, COLUMBIA, MO 65212-1000
(573) 882-4438
(573) 884-9992
Mailing address
1 HOSPITAL DR # 58.00, COLUMBIA, MO 65212-1000
(573) 882-4438
(573) 884-9992
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2024025254
MO
Other
Enumeration date
09/23/2022
Last updated
06/28/2024
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