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Individual

DR. GAURAV ASHOK KULKARNI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
227 METRO DR, JEFFERSON CITY, MO 65109-1134
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2014041657
MO
2084P0804X
Child & Adolescent Psychiatry Physician
2014041657
MO

Other

Enumeration date
07/06/2010
Last updated
05/20/2019
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