Individual
KAVINDU NDETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-0000
Mailing address
6000 TIERRA ST NE APT C, ALBUQUERQUE, NM 87111-7017
(316) 300-8172
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
Other
Enumeration date
05/29/2020
Last updated
06/30/2024
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