Individual
KIERSTEN LYNN SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS ELEMENTARY EDUCAT
Contact information
Practice address
3778 W COUNTY ROAD 400 S, KOKOMO, IN 46902-9115
(765) 432-2804
(765) 883-8193
Mailing address
3778 W COUNTY ROAD 400 S, KOKOMO, IN 46902-9115
(765) 432-2804
(765) 883-8193
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
747145
IN
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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