VIJAY KUMAR KANNAM

GRAVETTE, AR
NPI1699039610
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: AR  E-9316)
Enumeration Date2012-06-25
Last Update Date2023-10-16
Business Address
Dr. VIJAY KUMAR KANNAM M.D.
1101 JACKSON ST SW
GRAVETTE, AR 72736-9121
Phone number: 479-787-5221
Mailing Address
Dr. VIJAY KUMAR KANNAM M.D.
1101 JACKSON ST SW
GRAVETTE, AR 72736-9121
Phone number: 479-787-5221
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