| NPI | 1437399037 | 
|---|---|
| Doing Business As | DOCTOR KODALI & ASSOCIATES | 
| Entity Type | Organization | 
| Authorized Contact | SURESH B KODALI Provider 270-766-1234  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 0726)  | 
| Enumeration Date | 2009-02-23 | 
| Last Update Date | 2016-02-09 |