Individual
KEVIN TAYLOR SPENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12600 CANTRELL RD, LITTLE ROCK, AR 72223-1604
(501) 605-7676
Mailing address
UPMC PINNACLE 205 S FRONT ST, GENERAL SURGERY RESIDENCY BRADY 916, HARRISBURG, PA 17104
(717) 231-8755
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E-17872
AR
208600000X
Surgery Physician
MT219075
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT219075
PA
Other
Enumeration date
06/25/2019
Last updated
10/07/2024
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