Kannam, Vijay Kumar

Kannam, Vijay Kumar is an sole proprietor health care provider with primary practice located at 1101 Jackson St Sw , Gravette AR 72736-9121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kannam, Vijay Kumar can be contacted via phone (479) 787-5221.

Contact Information

Primary practice address
1101 Jackson St Sw Gravette AR 72736-9121
Phone: (479) 787-5221
Fax: (479) 787-5613
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-9316 Arkansas

Profile Details

NPI number 1699039610
LBN Legal business name Kannam, Vijay Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2012
Last updated Oct 16th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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