Healthcare Provider Details

I. General information

NPI: 1477873479
Provider Name (Legal Business Name): SARAH KATHLEEN ABBEYQUAYE D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH K BROWN DO

II. Dates (important events)

Enumeration Date: 06/02/2010
Last Update Date: 12/01/2020
Certification Date: 12/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 HIGHLAND PARK DR
RICHMOND KY
40475-3839
US

IV. Provider business mailing address

1010 MAIN ST S
MC KEE KY
40447-7089
US

V. Phone/Fax

Practice location:
  • Phone: 859-626-7700
  • Fax: 859-626-7890
Mailing address:
  • Phone: 859-626-7700
  • Fax: 859-626-7890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number03610
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: