Individual
KATHLEEN FAY SANDERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
516 S MAIN ST, MIDDLEBURY, IN 46540-9701
(574) 825-9124
Mailing address
PO BOX 1295, ANDERSON, IN 46015-1295
(765) 683-0845
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001933A
IN
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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