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Search › Virginia › 363AS0400X

Kelly Sparks, PA

NPI 1649245309 · on the registry since 2006

Practice

Address
109 Bridge St Ste 300
Danville, VA 24541
Phone
(434) 793-4711
Fax
(434) 797-2514
Organisation at this address
Spectrum Medical Inc
Spectrum Medical Inc
Laboratory Corporation Of America Holdings
Inferred from a shared address, not stated in the registry.
Clinicians at this address
83

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Also registered as
363AM0700X
363A00000X
363A00000X
Licence states on file
VA, IN, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-06

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 Virginia