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 |