Individual
ASHLEY T KAKKANATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 909-9018
Mailing address
169 BEVERLY RD, MOUNT KISCO, NY 10549-1803
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
10836100
NJ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
324521
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2016
Last updated
02/28/2025
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