Provider Demographics
NPI:1407080609
Name:KREYKES, SARAH E (MS)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:KREYKES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 CHURCH ST SE
Mailing Address - Street 2:4-105 NILS HASSELMO HALL
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-625-5604
Mailing Address - Fax:
Practice Address - Street 1:312 CHURCH ST SE
Practice Address - Street 2:4-105 NILS HASSELMO HALL
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-625-5604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-04
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS