Individual
JOHN ADAMS SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
432 16TH ST, ASHLAND, KY 41101-7693
(606) 324-0128
(606) 326-1372
Mailing address
6200 DUTCHMANS LN, LOUISVILLE, KY 40205-3271
(502) 456-6200
(502) 456-6655
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
28118
KY
207R00000X
Internal Medicine Physician
Primary
28118
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50044911
PASSPORT
KY
05
—
64281181
—
KY
Enumeration date
07/26/2006
Last updated
01/08/2025
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