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Individual

EDAKKUNNY W UNNIKRISHNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
900 SAINT CHRISTOPHER DR, SUITE 201, ASHLAND, KY 41101-7032
(606) 836-2311
(606) 836-3616
Mailing address
900 SAINT CHRISTOPHER DR, SUITE 201, ASHLAND, KY 41101-7032
(606) 836-2311
(606) 836-3616

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
19376
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0398976
OH
05
64193766
KY
Enumeration date
12/14/2005
Last updated
03/01/2012
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