Individual
LAKSHMI KANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 MARTHA JEFFERSON DR, CHARLOTTESVILLE, VA 22911-4668
(434) 654-5260
(844) 340-9731
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 430-2208
(606) 218-7508
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
54641
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Enumeration date
07/05/2016
Last updated
08/13/2024
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