Individual
ANDREA MICHELLE SANDIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4000 POPLAR LEVEL RD, LOUISVILLE, KY 40213-1524
(502) 813-8928
(502) 456-9121
Mailing address
4000 POPLAR LEVEL RD, LOUISVILLE, KY 40213-1524
(502) 813-8928
(502) 456-9121
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2219DT
KY
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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