Krishnan, Kalyan S

Krishnan, Kalyan S is an individual health care provider with primary practice located at 115 Woodbine Lane , Danville PA 17822-5208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Krishnan, Kalyan S can be contacted via phone (570) 271-6621.

Contact Information

Primary practice address
115 Woodbine Lane Danville PA 17822-5208
Fax: (570) 271-5655
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD036819L Pennsylvania

Profile Details

NPI number 1659331734
LBN Legal business name Krishnan, Kalyan S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated May 19th, 2008 - about 17 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 1659331734 NPPES
Pennsylvania MEDICAID 00691008

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