Kacie Amanda Sandusky

NPI 1790006278 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1790006278
Gender Female
Enumeration Date 06/18/2010
Last Updated 09/24/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
129 S 10TH ST
PARIS AR, 72855-4007, US
Phone (479) 452-5040
Fax (479) 452-5047
Business Location
PO BOX 23070
BARLING AR, 72923-0070, US
Phone (479) 452-5040
Fax (479) 452-5047
Taxonomy Code 171M00000X
License State
License Number
Remove 1790006278 NPI Number

According to our database, Kacie Amanda Sandusky NPI is 1790006278, taxonomy code is 171M00000X Kacie Amanda Sandusky physically located at 129 S 10th St, Paris AR, 72855-4007. NPI Number Kacie Amanda Sandusky has the Individual type.

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1790006278 NPI number is provided on an as is basis without warranty of any kind. 1790006278 is maintained by the National Plan & Provider Enumeration System. The contents of Kacie Amanda Sandusky are for informational purposes only.