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Individual
SADIE S. KINTZ
Active
Individual
SADIE S. KINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001548A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000324240
ANTHEM
IN
05
—
200471290
—
IN
05
—
2468182
—
OH
01
—
P00218165
RAILROAD
—
Enumeration date
03/22/2006
Last updated
09/29/2020
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