Individual
DR. RENUKA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1908 N MAIN ST, HAZARD, KY 41701-2505
(606) 439-2662
(606) 439-0575
Mailing address
401 GRAND OAK LN, HAZARD, KY 41701-9430
(606) 439-4484
(606) 439-0575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37785
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64073984
—
KY
Enumeration date
08/31/2006
Last updated
07/08/2007
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