Individual
DEVIN KIA SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
250 PARK ST, BOWLING GREEN, KY 42101-1760
(270) 745-1316
Mailing address
117 BUTTERCUP RD, LOUISVILLE, KY 40218-4007
(678) 642-9249
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
S3742
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
TP657
KY
Other
Enumeration date
06/25/2014
Last updated
10/28/2020
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