Healthcare Provider Details

I. General information

NPI: 1205959137
Provider Name (Legal Business Name): SARAH TURNER KUESTNER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2007
Last Update Date: 06/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24701 EUCLID AVENUE RAINBOW BABIES AND CHILDREN'S HOSPITAL
EUCLID OH
44117
US

IV. Provider business mailing address

2416 FENWICK RD
UNIVERSITY HEIGHTS OH
44118-3709
US

V. Phone/Fax

Practice location:
  • Phone: 216-983-1081
  • Fax:
Mailing address:
  • Phone: 502-410-9797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number43567
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number01069573A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: