Individual
SANDRA L. SWAYZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
793 EASTERN BYP, SUITE G2, RICHMOND, KY 40475-2422
(859) 626-0074
(859) 626-3265
Mailing address
793 EASTERN BYP, SUITE G2, RICHMOND, KY 40475-2422
(859) 626-0074
(859) 626-3265
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
28247
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
64282478
—
KY
01
—
CB5773
RR MEDICARE GROUP
KY
01
—
P00102071
RR MEDICARE PIN
KY
Enumeration date
07/25/2006
Last updated
02/25/2008
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