Tera Sparks

NPI 1366889867 · on the registry since 2013 · sole proprietor

Practice

Address: 1019 Cumberland Falls Hwy
Corbin, KY 40701
Phone: (606) 526-0755
Fax: (606) 526-9589
Organisation at this address: Kroger Limited Partnership I
Grace Community Health Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 21

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: KY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-05-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky