| Doctor Kodali & Associates | |
|
708 Westport Rd Suite 103 Elizabethtown KY 42701-3819 | |
| (270) 766-1234 | |
| (270) 766-1144 |
| Full Name | Doctor Kodali & Associates |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 708 Westport Rd, Elizabethtown, Kentucky |
| Authorized Official Name and Position | Suresh B Kodali (PROVIDER) |
| Authorized Official Contact | 2707661234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctor Kodali & Associates 708 Westport Rd Suite 103 Elizabethtown KY 42701-3819 Ph: (270) 766-1234 | Doctor Kodali & Associates 708 Westport Rd Suite 103 Elizabethtown KY 42701-3819 Ph: (270) 766-1234 |
| NPI Number | 1437399037 |
|---|---|
| Provider Enumeration Date | 02/23/2009 |
| Last Update Date | 02/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437399037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 0726 (Kentucky) | Primary |
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