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Individual

MARY KATHERINE ALEXANDRA SPIKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4950 NORTON HEALTHCARE BLVD STE 205, LOUISVILLE, KY 40241-2847
(502) 394-6390
(502) 394-6388
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
PA2308
KY
363A00000X
Physician Assistant
Primary
PA2308
KY

Other

Enumeration date
11/06/2017
Last updated
10/27/2020
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