Individual
KEVIN MICHAEL SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
501 E MAIN ST, WAYNESBORO, PA 17268-2353
(717) 765-3400
(717) 765-3408
Mailing address
501E MAIN ST, WAYNESBORO, PA 17268-2353
(717) 765-3400
(717) 765-3408
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA051774
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103162524
—
PA
Enumeration date
04/20/2006
Last updated
02/17/2020
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