Individual
KAKRA CONDUA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
107 E NORTH 1ST ST, SENECA, SC 29678-3240
(864) 882-8890
(864) 888-1000
Mailing address
107 E NORTH 1ST ST, SENECA, SC 29678-3240
(864) 882-8890
(864) 888-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18972
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189726
—
SC
Enumeration date
01/31/2006
Last updated
07/08/2007
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