Organization
KC KRISHNAMURTHI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISHNASWAMY CHENROYAN KRISHNAMURTHI MD (PRESIDENT)
(419) 289-3355
Entity
Organization
Contact information
Practice address
1941 BANEY RD S, ASHLAND, OH 44805-4502
(419) 289-3355
(419) 281-6444
Mailing address
1941 BANEY RD S, ASHLAND, OH 44805-4502
(419) 289-3355
(419) 281-6444
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35033441
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0169071
—
OH
Enumeration date
08/10/2010
Last updated
09/08/2010
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