Sardegna, Kathleen Mary

Sardegna, Kathleen Mary is an individual health care provider with primary practice located at 2809 North Ave , Richmond VA 23222-3647. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Sardegna, Kathleen Mary can be contacted via phone (804) 525-1851.

Contact Information

Primary practice address
2809 North Ave Richmond VA 23222-3647
Phone: (804) 525-1851
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036630 Connecticut

Profile Details

NPI number 1407829021
LBN Legal business name Sardegna, Kathleen Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Apr 15th, 2017 - about 7 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 1407829021 NPPES
Connecticut MEDICAID 001366302
Connecticut MEDICAID 004236007
Connecticut Other 036630
Connecticut Other 26581

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