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Individual

KATE C SANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
975 E. THIRD ST, CHATTANOOGA, TN 37403-2147
(423) 778-7608
(423) 778-2360
Mailing address
PO BOX 11225, CHATTANOOGA, TN 37401-2225
(423) 892-5602
(423) 892-5838

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN130817
GA
163W00000X
Registered Nurse
RN42000
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN10694
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000739714B
GA
05
009903730
AL
05
1513896
TN
01
3053361
BLUE CROSS BLUE SHIELD TN
TN
01
430049825
RAILROAD MEDICARE
TN
05
8052436
NC
01
N370660
WELLCARE (GA MEDICAID)
GA
Enumeration date
12/11/2006
Last updated
02/03/2010
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