Individual
DR. SARAH DENTINGER MERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3900 KRESGE WAY, SUITE 54, LOUISVILLE, KY 40207
(502) 896-6696
(502) 896-1795
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5753
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41072
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000534174
ANTHEM
KY
01
—
2863828000
PASSPORT ADVANTAGE
KY
01
—
50016353
PASSPORT
KY
05
—
7100028060
—
KY
Enumeration date
02/27/2007
Last updated
01/26/2015
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