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Individual
SARA KYLIE DENIG
Active
Individual
SARA KYLIE DENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003924A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201070640
—
IN
01
—
P01549380
RR MEDICARE
IN
Enumeration date
03/23/2012
Last updated
11/27/2023
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