Individual
DR. ARMANDO C SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1413 N ELM ST, SUITE 101, HENDERSON, KY 42420-2768
(270) 827-9803
(270) 827-8966
Mailing address
1413 N ELM ST, HENDERSON, KY 42420-2768
(270) 827-9803
(270) 827-8966
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21335
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047428
ANTHEM
KY
01
—
080113180
KY RR MCR
KY
01
—
21335
KY LICENSE
KY
05
—
64213358
—
KY
Enumeration date
08/03/2006
Last updated
08/03/2015
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