Individual
DR. KIMBERLY JO SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8100 EWING BLVD, FLORENCE, KY 41042-7588
(859) 647-8725
(859) 647-8726
Mailing address
8100 EWING BLVD, FLORENCE, KY 41042-7588
(859) 647-8725
(859) 647-8726
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02742
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080185147
RAILROAD MEDICARE
KY
05
—
2212804
—
OH
05
—
64049695
—
KY
Enumeration date
04/18/2006
Last updated
10/07/2017
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