Sand, Kevin L

Sand, Kevin L is an individual health care provider with primary practice located at 901 Montgomery St , Decorah IA 52101-2325. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sand, Kevin L can be contacted via phone (563) 382-9671.

Contact Information

Primary practice address
901 Montgomery St Decorah IA 52101-2325
Fax: (563) 382-5015
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21421 Iowa

Profile Details

NPI number 1154325520
LBN Legal business name Sand, Kevin L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154325520 NPPES
Iowa MEDICAID 1164343

Popular Providers