Individual
SANDRA GEILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
466 LINDEN AVE, HARRODSBURG, KY 40330-1841
(859) 734-5173
(859) 734-9925
Mailing address
466 LINDEN AVE, HARRODSBURG, KY 40330-1841
(859) 734-5173
(859) 734-9925
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
36735
KY
207R00000X
Internal Medicine Physician
Primary
36735
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000259688
ANTHEM
KY
01
—
3000103
BWC
WV
05
—
3810004514
—
WV
01
—
50005458
PASSPORT
KY
05
—
64056666
—
KY
01
—
P00037844
RR- MEDICARE
KY
Enumeration date
07/19/2006
Last updated
08/27/2015
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