Individual
DR. SREENIVASA REDDY ALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
726 HIGHWAY 11 N, SUITE 5, JACKSON, KY 41339
(606) 693-0116
Mailing address
726 HIGHWAY 11 N, SUITE 5, JACKSON, KY 41339
(606) 693-0116
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
45681
KY
Other
Enumeration date
08/21/2009
Last updated
10/09/2013
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