# DIABETIC HEALTH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275856247
- **Authorized official:** STEVEN D SPADY D.O. (OWNER)
- **Authorized official phone:** (606) 598-8813

## Contact information

- **Practice address:** 509 MEMORIAL DR, SUITE 2, MANCHESTER, KY 40962-6195
- **Practice address phone:** (606) 598-8813
- **Practice address fax:** (606) 598-0983
- **Mailing address:** 509 MEMORIAL DR, MANCHESTER, KY 40962-6195
- **Mailing address phone:** (606) 598-8813
- **Mailing address fax:** (606) 598-0983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WD0400X | Diabetes Educator Registered Nurse | — | NULL | — |
| 163WD0400X | Diabetes Educator Registered Nurse | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/05/2010
- **Last updated:** 10/24/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000672417 | ANTHEM BLUE CROSS BLUE SHIELD | KY |
| 05 | — | 710016290 | — | KY |
