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Individual

DANIEL KEITH SANFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
333 S 3RD ST, DANVILLE, KY 40422
(859) 236-7712
(270) 858-4607
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4027

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036108680
IL
207V00000X
Obstetrics & Gynecology Physician
30958
MS
207V00000X
Obstetrics & Gynecology Physician
Primary
36597
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036108680
IL
01
10805948
CAQH
KY
05
370966854017
IL
05
64033269
KY
01
CF3444
MEDICARE RAILROAD GROUP
IL
Enumeration date
06/14/2006
Last updated
11/27/2024
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