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
Phone: (563) 382-9671
Fax: (563) 382-5015
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154325520 | NPPES |
Iowa | MEDICAID | 1164343 |
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