Individual
DR. JAYANTHI KINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
123 INTERNATIONAL WAY, SPRINGFIELD, OR 97477-1047
(541) 341-8063
(541) 341-8099
Mailing address
123 INTERNATIONAL WAY, SPRINGFIELD, OR 97477-1047
(541) 341-8063
(541) 341-8099
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD00038975
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD152979
OR
Other
Enumeration date
11/02/2006
Last updated
03/01/2011
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