PAVANI NATHALA

ELIZABETHTOWN, KY
NPI1699353086
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: KY  59684)
Enumeration Date2021-03-29
Last Update Date2024-06-24
Business Address
PAVANI NATHALA
100 HELMWOOD PLAZA DR
ELIZABETHTOWN, KY 42701-2975
Phone number: 270-769-5579
Mailing Address
PAVANI NATHALA
100 HELMWOOD PLAZA DR
ELIZABETHTOWN, KY 42701-2975
Phone number: 502-769-5579