Individual
MR. SAM REDDY KESRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6040 SCOTTSVILLE RD, BOWLING GREEN, KY 42104-0388
(270) 842-5850
(270) 842-5388
Mailing address
6040 SCOTTSVILLE RD, BOWLING GREEN, KY 42104-0388
(270) 842-5850
(270) 842-5388
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33804
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64338049
—
KY
Enumeration date
07/17/2006
Last updated
12/11/2020
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