Individual
KATHLEEN M. SANDNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1701 SOUTH BROADWAY, PITTSBURG, KS 66762
(620) 235-4452
(620) 235-6135
Mailing address
P.O. BOX 1948, PITTSBURG, KS 66762
(620) 235-4452
(620) 235-6135
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-22837
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020548
BCBS
KS
05
—
100124880A
—
KS
01
—
110072703
RR MEDICARE
KS
01
—
16010
COVENTRY
KS
Enumeration date
10/13/2006
Last updated
07/08/2016
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