Provider Demographics
NPI:1780966762
Name:KEAR, SARAH ELISABETH
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ELISABETH
Last Name:KEAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6355 DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-4215
Mailing Address - Country:US
Mailing Address - Phone:513-874-3528
Mailing Address - Fax:513-874-6834
Practice Address - Street 1:6355 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-4215
Practice Address - Country:US
Practice Address - Phone:513-874-3528
Practice Address - Fax:513-874-6834
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03227833183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist