Individual
SANDRA J UTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 BLACKBURN LANE, DRY RIDGE, KY 41035-8860
(859) 823-5441
(859) 823-5001
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 823-5441
(859) 823-5001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42506
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3002146
—
OH
05
—
7100075670
—
KY
Enumeration date
02/13/2009
Last updated
05/21/2021
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