Individual
DR. KALYANI MEDICHERLA KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
411 SEWELL DR, SPARTA, TN 38583-1223
(931) 738-9140
(931) 738-9142
Mailing address
421 SEWELL DR, SPARTA, TN 38583-1223
(931) 738-4395
(931) 738-4330
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
6406379
TN
Other
Enumeration date
04/03/2009
Last updated
12/17/2014
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