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Individual

SARAH J GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4123 DUTCHMANS LN, SUITE 301, LOUISVILLE, KY 40207-4707
(502) 896-2500
(502) 896-2527
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39724
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000848342
ANTHEM-KCHNS
KY
01
154118
SIHO-KCHNS
KY
05
200879760
IN
01
50056893
PASSPORT-KCHNS
KY
05
64124662
KY
Enumeration date
07/21/2006
Last updated
07/28/2016
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