Individual
KELSEY SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 WASHINGTON ST, FAYETTE, IA 52142-9206
(800) 553-4150
Mailing address
104 HILLSIDE DR, SUMNER, IA 50674-1224
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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