Healthcare Provider Details

I. General information

NPI: 1821403668
Provider Name (Legal Business Name): SARAH ANN HIGDON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH ANN STEELE M.D.

II. Dates (important events)

Enumeration Date: 06/30/2014
Last Update Date: 04/30/2020
Certification Date: 04/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 PLEASANT VALLEY RD
OWENSBORO KY
42303-9811
US

IV. Provider business mailing address

UNIVERSITY OF KENTUCKY PATHOLOGY 800 ROSE STREET, SUITE MS-117
LEXINGTON KY
40536-0001
US

V. Phone/Fax

Practice location:
  • Phone: 270-688-2163
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberR3509
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number50885
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: