Individual
MR. SPENCER HERBERT COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(659) 301-0655
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(659) 301-0655
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
100752
NC
363A00000X
Physician Assistant
Primary
PA1705
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100228080
—
KY
Enumeration date
08/13/2012
Last updated
05/12/2015
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