Irvin, Sandra Kay

Irvin, Sandra Kay is an individual health care provider with primary practice located at 937 Campbellsville Rd , Columbia KY 42728-2265. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Irvin, Sandra Kay can be contacted via phone (270) 384-2777.

Contact Information

Primary practice address
937 Campbellsville Rd Columbia KY 42728-2265
Phone: (270) 384-2777
Fax: (270) 384-2770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3004654 Kentucky

Profile Details

NPI number 1477602043
LBN Legal business name Irvin, Sandra Kay
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Aug 26th, 2020 - 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 1477602043 NPPES
Kentucky MEDICAID 78015112

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