Individual
KASIN MAYNE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8508 W GAGE BLVD STE A101, KENNEWICK, WA 99336-8106
(877) 522-1275
(833) 888-7145
Mailing address
718 CHESTNUT OAK DR, KNOXVILLE, TN 37909-3453
(931) 242-0937
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1137867
TN
Other
Enumeration date
06/22/2017
Last updated
11/19/2024
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