# DENNIS A SPARKS MD INC

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

## Provider details

- **NPI number:** 1386946952
- **Authorized official:** DR. DENNIS A SPARKS M.D. (PHYSICIAN)
- **Authorized official phone:** (502) 491-6963

## Contact information

- **Practice address:** 2831 S HURSTBOURNE PKWY, LOUISVILLE, KY 40220-4112
- **Practice address phone:** (502) 491-6963
- **Practice address fax:** (402) 491-8398
- **Mailing address:** 2831 S HURSTBOURNE PKWY, LOUISVILLE, KY 40220-4112
- **Mailing address phone:** (502) 491-6963
- **Mailing address fax:** (402) 491-8398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/02/2010
- **Last updated:** 12/02/2010