Individual
SANDRA KAY POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
708 WESTPORT RD STE 103, ELIZABETHTOWN, KY 42701-2866
(270) 766-1397
Mailing address
10243 METTS COURT APT 4, ELIZABETHTOWN, KY 42701
(270) 723-4344
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
07/08/2022
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