Individual
SAMYUKTHA VANI KEMPARAJURS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 PARKER PL UNIT 200, LA GRANGE, KY 40031-2229
(502) 222-7144
Mailing address
501 PARKER PL UNIT 200, LA GRANGE, KY 40031-2229
(502) 222-7144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53626
KY
207Q00000X
Family Medicine Physician
92110
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100569380
—
KY
01
—
K255240
MEDICARE
KY
Enumeration date
03/17/2017
Last updated
12/26/2024
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