Austin Chandler Sparkman, PA

NPI #1760050819 in Irvine, Kentucky

Provider Information

NPI Number: 1760050819
Entity Type: Individual
Name: Austin Chandler Sparkman, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 15, 2021
Last Updated: Aug 30, 2021

Practice Location

Address: 30 STACY LANE RD
City: Irvine
State: Kentucky
ZIP Code: 40336-7356
Phone: (606) 723-0665

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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