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Individual

SARA L MCNALLY

Active
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Individual

SARA L MCNALLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2667A
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000380611
ANTHEM PROVIDER #
KY
01
030670000
BLACK LUNG
KY
01
50008567
PASSPORT HEALTH PLAN
KY
01
61-1427889
BLUEGRASS FAMILY HEALTH
KY
05
74026675
KY
01
C20863
CUMBERLAND HEALTHCARE INC
KY
01
P00314943
RRMCR
KY
Enumeration date
02/14/2006
Last updated
04/27/2012
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