Provider Demographics
NPI:1154016822
Name:WALDEN, SARA MAY (MD)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:MAY
Last Name:WALDEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7400 STATE LINE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-3447
Mailing Address - Country:US
Mailing Address - Phone:913-588-6660
Mailing Address - Fax:913-588-0888
Practice Address - Street 1:7400 STATE LINE RD STE 100
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-3447
Practice Address - Country:US
Practice Address - Phone:913-588-6660
Practice Address - Fax:913-588-0888
Is Sole Proprietor?:No
Enumeration Date:2023-04-10
Last Update Date:2024-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS94-11989207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology