Individual
KEVIN L SAND
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 MONTGOMERY ST, DECORAH, IA 52101-2325
(563) 382-9671
(563) 382-5015
Mailing address
2597 QUARRY HILL RD, DECORAH, IA 52101-7659
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21421
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164343
—
IA
Enumeration date
06/13/2005
Last updated
07/08/2007
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