Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 12011557A | IN |
Y | 213EG0000X | General Practice | 12011557A | IN |
N | 1223G0001X | General Practice | 8891 | KY |
N | 213EG0000X | General Practice | 8891 | KY |
NPI | 1336428556 |
---|---|
Provider Name | Dr. Rama L Kakarlapudi |
First Address | Crestwood, KY 40014 |
Second Address | Middletown, KY 40243-1487 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2011 |
Last Update Date | 21/08/2013 |