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Individual

SIRISH KUMAR PALLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
130 KATE IRELAND DR, HYDEN, KY 41749-9071
(606) 672-2901
Mailing address
130 KATE IRELAND DR, HYDEN, KY 41749-9071
(606) 672-2901

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
45469
KY

Other

Enumeration date
08/17/2010
Last updated
08/21/2012
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