Sandy Fine
Individual provider Active NPI Driver · Garden City, KS
NPI 1407065626 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407065626
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 1510 Sundance Cir
Garden City, KS 67846-7353 - Phone
- (620) 276-7031
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
1510 Sundance Cir
Garden City, KS 67846-7353
Mailing address
1510 Sundance Cir
Garden City, KS 67846-7353
Phone (620) 276-7031
Other providers in Garden City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.