Sandra L. Kavalukas, M.D.
Colon & Rectal Surgery in Louisville, KY. Individual provider (NPI-1).
NPI number1164570867
StatusActive
Last updated in NPPESJun 18, 2020
Details
- NPI
- 1164570867
- Entity type
- Individual (NPI-1)
- Name
- Ms. Sandra L. Kavalukas
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 8, 2007
- Certification date
- Jun 18, 2020
- Last updated
- Jun 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208C00000X | Colon & Rectal Surgery | 53624 | KY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | TN |
Practice location
401 E Chestnut St Unit 710Louisville, KY 40202-5707
Phone 502-583-8303
Mailing address
Po Box 909Louisville, KY 40201-0909
Phone 502-588-0325
Other practice locations
D-4314 Medical Ctr N
Nashville, TN 37232-2730
Nashville, TN 37232-2730
Phone 615-343-6642 · Fax 615-322-0689
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