Individual
KANEWELA A JAYASEKERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
EASTERN STATE HOSPITAL, 627 W 4TH ST, LEXINGTON, KY 40508-1294
(859) 246-7558
(859) 246-7023
Mailing address
CONNECTIONS, 3479 BUCKHORN DR., LEXINGTON, KY 40515-1294
(859) 271-3812
(859) 967-1069
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18217
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18217
—
KY
01
—
P00022290
RR MEDICARE
KY
Enumeration date
06/26/2006
Last updated
02/12/2009
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