Provider Demographics
NPI:1346544665
Name:SAWYER MEDICAL ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:SAWYER MEDICAL ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:CASHION
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:502-396-7176
Mailing Address - Street 1:3903 VANTAGE PL
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-6801
Mailing Address - Country:US
Mailing Address - Phone:502-396-7176
Mailing Address - Fax:
Practice Address - Street 1:111 E ADAMS ST
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:KY
Practice Address - Zip Code:40031-1229
Practice Address - Country:US
Practice Address - Phone:502-396-7176
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-29
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center