Individual
BETTY DIANNE SANDLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 MEDICAL CENTER DR, PADUCAH, KY 42003-7909
(270) 205-5913
(270) 442-1001
Mailing address
PO BOX 8411, PADUCAH, KY 42002-8411
(270) 205-5913
(270) 442-1001
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3003065
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74001587
—
KY
01
—
P00752201
RAIL ROAD MEDICARE
KY
Enumeration date
04/26/2006
Last updated
06/25/2024
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