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Individual

DONNA S SANDLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
210 MARIE LANGDON DR, MANCHESTER, KY 40962-6195
(606) 598-5104
(606) 598-0983
Mailing address
10 BENTLEY RD, LONDON, KY 40744-8849

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1083411
KY
363L00000X
Nurse Practitioner
Primary
3791P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000514608
BLUE CROSS BLUE SHEILD
KY
01
000000586717
BLUE CROSS & BLUE SHIELD
KY
01
7100014610
MEDICAID NP GROUP NUMBER
KY
05
78008273
KY
01
P00409709
RAILROAD MEDICARE
KY
Enumeration date
06/07/2006
Last updated
02/08/2018
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