Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEREMY SPENCER, KCSA
ActiveSurgical Physician Assistant · SCIENCE HILL, KY
Registration Details
- NPI Number
- 1467502195
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 12, 2007 (19.315872731495 yrs)
- Last Updated
- Jan 19, 2009
- License
-
SA093 (KY)
Practice Information
- Address
-
420 STILESVILLE RDSCIENCE HILL, KY, 425537410Browse KY providers · Browse ZIP 42553
- Phone
- 6062190900
- Fax
- 6064510177
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.