Individual
SARAH MICHELLE O'LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
211 FOUNTAIN CT, SUITE 120, LEXINGTON, KY 40509-2694
(859) 629-7245
(859) 629-7246
Mailing address
PO BOX 936, LONDON, KY 40743-0936
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49432
KY
208000000X
Pediatrics Physician
49432
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100268360
—
KY
Enumeration date
04/29/2012
Last updated
08/22/2019
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