Most Relevant Information
Provider Data
| NPI Number: | 1003506346 |
| Provider Name: | KAJAL DESAI |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/10/2023 |
| Last Updated: | 05/10/2023 |
Provider Practice Location
800 W JEFFERSON ST
KIRKSVILLE
MO
635011443
Practice Location Phone/Fax
| Phone: | 4025708041 |
| Fax: |
Provider Mailing Location
5130 FOXGLOVE CIR
LINCOLN
NE
685215610
Provider Mailing Phone/Fax
| Phone: | 4025708041 |
| Fax: |