Archibald, Sandra Kaye

Archibald, Sandra Kaye is an individual health care provider with primary practice located at 461 S Nova Rd , Ormond Beach FL 32174. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Archibald, Sandra Kaye can be contacted via phone (502) 587-4421.

Contact Information

Primary practice address
461 S Nova Rd Ormond Beach FL 32174
Phone: (502) 587-4421
Fax: (502) 361-9947
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35509 Kentucky
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 104271 Florida

Profile Details

NPI number 1538147665
LBN Legal business name Archibald, Sandra Kaye
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Feb 3rd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538147665 NPPES
Kentucky MEDICAID 64025554
Kentucky Other 1131059
Kentucky Other 930097462
Kentucky Other 000000057678
Kentucky Other 029882600
Kentucky MEDICAID 200301090A

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