Individual
SANDRA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
138 MILLER LANE, BEDFORD, KY 40006
(502) 255-7701
Mailing address
138 MILLER LN, BEDFORD, KY 40006-7400
(502) 255-7701
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
1056374
KY
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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