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Ms. Kavya Shankar Muttanahally
Student in an Organized Health Care Education/Training Program in Farmington, Connecticut
NPI 1811549181

Kavya Shankar Muttanahally is a Student in an Organized Health Care Education/Training Program based in Farmington, CT. Kavya Shankar Muttanahally practices in Farmington, CT. The NPI Number for Kavya Shankar Muttanahally is 1811549181 and holds a License No. (Connecticut).

The current practice location address for Kavya Shankar Muttanahally is Uconn School Of Dental Medicine 263 Farmington Ave, Farmington, CT and can be reached out via phone at 860-679-2952.

Location: Uconn School Of Dental Medicine 263 Farmington Ave, Farmington, CT, 06032-1268
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811549181
Provider Name
Kavya Shankar Muttanahally
Credential
Provider Entity Type
Individual
Gender
Female
Address
Uconn School Of Dental Medicine 263 Farmington Ave, Farmington, CT, 06032-1268
Phone Number
860-679-2952
Fax Number
Provider Enumeration Date
07/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Uconn School Of Dental Medicine 263 Farmington Ave
City
Farmington
State
Connecticut
Zip
06030-0001
Phone Number
860-679-2952
Fax Number
person
Provider Business Mailing Address Details
Address
Uconn School Of Dental Medicine 263 Farmington Ave
City
Farmington
State
Connecticut
Zip
06030-0001
Phone Number
860-679-2952
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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