Provider Demographics
NPI:1396997003
Name:KEFALOS, KIRANA (MD)
Entity type:Individual
Prefix:
First Name:KIRANA
Middle Name:
Last Name:KEFALOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3227 ESTATE GOLDEN ROCK
Mailing Address - Street 2:SUITE #4
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00820
Mailing Address - Country:US
Mailing Address - Phone:340-718-9700
Mailing Address - Fax:340-718-5300
Practice Address - Street 1:3227 ESTATE GOLDEN ROCK
Practice Address - Street 2:SUITE #4
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820
Practice Address - Country:US
Practice Address - Phone:340-718-9700
Practice Address - Fax:340-718-5300
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-14
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI1351207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine