| Dennis A Sparks Md Inc | |
|
2831 S Hurstbourne Pkwy Louisville KY 40220-4112 | |
| (502) 491-6963 | |
| (402) 491-8398 |
| Full Name | Dennis A Sparks Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2831 S Hurstbourne Pkwy, Louisville, Kentucky |
| Authorized Official Name and Position | Dennis A Sparks (PHYSICIAN) |
| Authorized Official Contact | 5024916963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis A Sparks Md Inc 2831 S Hurstbourne Pkwy Louisville KY 40220-4112 Ph: (502) 491-6963 | Dennis A Sparks Md Inc 2831 S Hurstbourne Pkwy Louisville KY 40220-4112 Ph: (502) 491-6963 |
| NPI Number | 1386946952 |
|---|---|
| Provider Enumeration Date | 12/02/2010 |
| Last Update Date | 12/02/2010 |
| Medicare PECOS PAC ID | 2860689445 |
|---|---|
| Medicare Enrollment ID | O20101208000744 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386946952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Dennis Allen Sparks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629076153 PECOS PAC ID: 3779770359 Enrollment ID: I20101208000794 |
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