Organization
SURESH KODALI
Active
Other names
Doctor Kodali & Associates
Organization subpart
No
Provider details
NPI number
Authorized official
SURESH B KODALI M.D. (PROVIDER)
(270) 766-1234
Entity
Organization
Contact information
Practice address
708 WESTPORT RD, SUITE 103, ELIZABETHTOWN, KY 42701-3819
(270) 766-1234
(270) 766-1144
Mailing address
708 WESTPORT RD, SUITE 103, ELIZABETHTOWN, KY 42701-3819
(270) 766-1234
(270) 766-1144
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0726
KY
Other
Enumeration date
02/23/2009
Last updated
02/09/2016
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