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NPI Code Detail

MEDICARE: SARAH ELIZABETH BISSMEYER MD

MEDICARE: SARAH ELIZABETH BISSMEYER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician60156KY

General Provider Information

NPI Number : 1891426854
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH ELIZABETH BISSMEYER MD
Provider Business Mailing Address
First Line : PO BOX 936
Second Line :
City : LONDON
State : KY
Zip : 40743-0936
Country : US
Telephone Number : 606-330-7835
Fax Number : 859-277-9164
Provider Business Practice Location Address
First Line : 1401 HARRODSBURG RD STE B160
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-1726
Country : US
Telephone Number : 859-276-4486
Fax Number : 859-277-9164
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2022
Last Update Date : 06/24/2025

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