Provider Demographics
NPI:1750489944
Name:ACLAND, SARAH (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:ACLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6200 CRESTWOOD STA STE A
Mailing Address - Street 2:
Mailing Address - City:CRESTWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:40014-7418
Mailing Address - Country:US
Mailing Address - Phone:502-243-2622
Mailing Address - Fax:502-243-2692
Practice Address - Street 1:6200 CRESTWOOD STA
Practice Address - Street 2:SUITE A
Practice Address - City:CRESTWOOD
Practice Address - State:KY
Practice Address - Zip Code:40014-7418
Practice Address - Country:US
Practice Address - Phone:502-243-2622
Practice Address - Fax:502-243-2692
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY191992084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
161426OtherVALUEOPTIONS
KY19199OtherMEDICAL LICENSE
000000609057OtherANTHEM BCBS PIN
2163307OtherCOMPSYCH
KY19199OtherKY MEDICAL LICENSE
161426OtherVALUEOPTIONS
KY19199OtherMEDICAL LICENSE