Individual
PAIGE SPEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
661 US 31W BYP STE C, BOWLING GREEN, KY 42101
(270) 779-9727
Mailing address
661 US 31W BYP STE C, BOWLING GREEN, KY 42101-4968
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06-44-1501079
TATTOO ARTIST CERTIFICATE
KY
01
—
FB971385
PARAMEDICAL SPECIALIST
GA
Enumeration date
08/21/2018
Last updated
08/21/2018
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