Individual
CHENTHAN KRISHNAKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 S LIMESTONE STE K201, LEXINGTON, KY 40536-4637
(859) 323-6211
(859) 257-0491
Mailing address
625 NW 182ND ST, EDMOND, OK 73012-4582
(224) 302-2740
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
39679
OK
2080P0206X
Pediatric Gastroenterology Physician
Primary
TP458
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6700889
—
VT
Enumeration date
03/21/2019
Last updated
06/10/2025
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