Individual
MRS. SANDRA J POLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
330 N. LORETTO RD, LEBANON, KY 40033
(270) 699-2229
Mailing address
PO BOX 5208, MERIDIAN, MS 39302-5208
(601) 703-9485
(601) 703-9283
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
3016943
KY
176B00000X
Midwife
Primary
899566
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238524
HEALTHLINK
—
01
—
420000052
RAILROAD MEDICARE
—
05
—
7100780290
—
KY
Enumeration date
08/04/2006
Last updated
12/01/2021
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