Individual
KALYAN KHANAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6324 CORNWALLIS DR APT 2B, FORT WAYNE, IN 46804-8364
(260) 431-9783
Mailing address
6324 CORNWALLIS DR APT 2B, FORT WAYNE, IN 46804-8364
(260) 431-9783
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012735A
IN
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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