Individual
DR. KALYAN S KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 WOODBINE LANE, DANVILLE, PA 17822-5208
(570) 271-6621
(570) 271-5655
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD036819L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00691008
—
PA
Enumeration date
03/24/2006
Last updated
05/19/2008
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