Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rene Kukkamalla

Individual provider Emergency Medicine Physician · NPI 1417344136

Rene Kukkamalla is an Emergency Medicine Physician in Lexington, Kentucky. Works from 2 locations. Licensed in Kentucky and Texas.

Licensed in
KY, TX
In the registry since
2015
Specialties on file
2

Practice location Address checks out

1221 S Broadway
Lexington, KY 40504-2701
Phone: (859) 258-4000
Fax: (859) 258-6203
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2601 E Roosevelt St, Phoenix, AZ 85008-4973 — (404) 735-0387

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 56420 (KY)
Emergency Medicine Physician Taxonomy 207P00000X · Licence R6033 (TX)

Record details

NPI number1417344136
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 20, 2015
Last updated in NPPESMay 1, 2023
Certification dateApril 12, 2023
Mailing address1221 S Broadway, Lexington, KY 40504-2701

Other providers in Lexington