Individual
DR. JAYARAMAKRISHNA DEPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
37 BALL PARK RD, HARLAN, KY 40831-1701
(606) 573-4520
(606) 574-8383
Mailing address
37 BALL PARK RD, HARLAN, KY 40831-1701
(606) 573-4520
(606) 573-6392
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
50838
KY
390200000X
Student in an Organized Health Care Education/Training Program
P01687
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100528570
—
KY
Enumeration date
07/17/2013
Last updated
02/19/2026
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