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General NPI Number Information
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NPI Number | 1487868923
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Entity Type | Individual
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Provider Name | KRISTIN KATHLEEN SANDS PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 11/22/2016
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Provider Practice Location Address
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Address Line | 151 W 151ST ST
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City | OLATHE
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State | KS
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Zip | 66061-5305
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Country | US
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Telephone | 913-764-1125
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Fax | 913-764-1186
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Provider Business Mailing Address
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Address Line | 153 W 151ST ST SUITE 100
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City | OLATHE
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State | KS
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Zip | 66061-5348
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Country | US
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Telephone | 913-764-1125
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Fax | 913-764-1186
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2007006942
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1501163
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License Number State | KS
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