Knievel, Sarah L

Knievel, Sarah L is an individual health care provider with primary practice located at 1712 Sycamore Ave , Kingman AZ 86409-0927. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Knievel, Sarah L can be contacted via phone (928) 681-8570.

Contact Information

Primary practice address
1712 Sycamore Ave Kingman AZ 86409-0927
Phone: (928) 681-8570
Fax: (928) 681-8569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 50035 Minnesota
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 0101250155 Virginia

Profile Details

NPI number 1902008691
LBN Legal business name Knievel, Sarah L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2007
Last updated Dec 18th, 2012 - about 12 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 1902008691 NPPES
Minnesota MEDICAID 833172000

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