Individual
SARAH M KACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
901 MONTGOMERY ST, DECORAH, IA 52101-2325
(563) 382-2911
(563) 382-1507
Mailing address
901 MONTGOMERY ST, DECORAH, IA 52101-2325
(563) 382-2911
(563) 382-1507
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001805
IA
363A00000X
Physician Assistant
12301
MN
363A00000X
Physician Assistant
1823
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42867800
—
WI
05
—
498632000
—
MN
01
—
528513
UGS MEDICARE
WI
Enumeration date
08/03/2005
Last updated
06/12/2024
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