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Dr. PRABHAKORN KITBHOKA M.D.

Individual Provider (NPI-1) Active

Internal Medicine, Nephrology

Provider Information

NPI Number
1679703045
Provider Type
Individual Provider (NPI-1)
Credentials
M.D.
Status
Active

Contact & Location

Address
710 PARK PL, MISHAWAKA, IN, 465453519
Phone
(574) 273-6787
Fax
(574) 968-7160

Specialties & Taxonomies

Internal Medicine, Nephrology License: IN #01077845A
Internal Medicine, Nephrology License: OR #MD211417
Internal Medicine, Nephrology Primary License: GA #96918

All Addresses

LOCATION

710 PARK PL

MISHAWAKA, IN, 465453519

(574) 273-6787

MAILING

PO BOX 5909

PORTLAND, OR, 972285909

(574) 273-6767