Healthcare Provider Details

I. General information

NPI: 1841824604
Provider Name (Legal Business Name): SARAH ANNE KANDE DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH ANNE FRANKLIN DMD

II. Dates (important events)

Enumeration Date: 03/02/2020
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S PRESTON ST
LOUISVILLE KY
40202-1701
US

IV. Provider business mailing address

501 S PRESTON ST
LOUISVILLE KY
40202-1701
US

V. Phone/Fax

Practice location:
  • Phone: 502-852-5401
  • Fax:
Mailing address:
  • Phone: 502-852-1268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0106X
TaxonomyOral and Maxillofacial Pathology Dentistry
License Number11052
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: