Individual
VINAY KUMAR KANTAMNENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1753 W RIDGEWAY AVE, STE 105, WATERLOO, IA 50701-4588
(319) 833-5940
(319) 833-5941
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 833-5940
(319) 833-5941
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
32046
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0157628
—
IA
01
—
40362
WELLMARK INS PLAN
IA
01
—
424417307A9
JOHN DEERE HEALTH INS PLA
IA
Enumeration date
05/23/2006
Last updated
02/04/2022
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