Kavita Pendurthi, MD Valid NPI
Individual provider · Psychiatry Physician · Fulton, MO
- NPI
- 1235140567
- Type
- Individual (Type 1)
- Primary specialty
- Psychiatry Physician (Psychiatry & Neurology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 2084P0800X
- License number
- MO100691 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-08-11
- Last updated
- 2008-06-23
Practice location
600 E 5th St, Fulton State Hospital
Fulton, MO 65251-1753
(573) 592-4100