Provider Demographics
NPI:1497910582
Name:SANKEY, MEGAN KATHERINE HANNAN (BS, RD, LD)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:KATHERINE HANNAN
Last Name:SANKEY
Suffix:
Gender:F
Credentials:BS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 2ND ST APT 5
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-4078
Mailing Address - Country:US
Mailing Address - Phone:410-533-2723
Mailing Address - Fax:
Practice Address - Street 1:615 2ND ST APT 5
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-4078
Practice Address - Country:US
Practice Address - Phone:410-533-2723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-28
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH978062133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered