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Organization

PR VELLAYAN MD PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PERIYAKARUPPAN VELLAYAN MD (PRESIDENT)
(606) 237-1000
Entity
Organization

Contact information

Practice address
306 HOSPITAL DR, SUITE 101, SOUTH WILLIAMSON, KY 41503-4095
(606) 237-1000
(606) 237-1001
Mailing address
306 HOSPITAL DR, SUITE 101, SOUTH WILLIAMSON, KY 41503-4095
(606) 237-1000
(606) 237-1001

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20552
KY

Other

Enumeration date
11/15/2007
Last updated
11/15/2007
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