Yelakanti, Kiran Kumar

Yelakanti, Kiran Kumar is an individual health care provider with primary practice located at 2512 Hurst Dr Ste 130 , Mattoon IL 61938-9200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Yelakanti, Kiran Kumar can be contacted via phone (217) 258-7590.

Contact Information

Primary practice address
2512 Hurst Dr Ste 130 Mattoon IL 61938-9200
Phone: (217) 258-7590
Fax: (217) 258-3686
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 276624 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036153492 Illinois

Profile Details

NPI number 1811272149
LBN Legal business name Yelakanti, Kiran Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2011
Last updated Aug 20th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811272149 NPPES
New Jersey MEDICAID 0560481
New Jersey MEDICAID 03924081
New Jersey MEDICAID 300018617

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