Doctor Name: | DR. KENNEDY YALAMANCHILI |
NPI Number: | 1205825932 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | C1-0006201 |
Business Practice Address: | 774 Christiana Rd Ste 202 Newark, DE - 197134236 |
Business Phone Number: | 3023667671 |
Business Fax Number: | |
Mailing Address: | 774 Christiana Rd, Ste 202 NEWARK |
State: | DE |
Postal Code: | 197134236 |
Phone Number: | 3023667671 |
Fax Number: | |
NPI Enumeration Date: | 10/15/2005 |
NPI Last Update Date: | 09/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | C1-0006201 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |