Individual
DR. KATHY JEAN SPARACINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1107 14TH AVE SE, SUITE G100, DECATUR, AL 35601-3309
(256) 340-5150
(256) 340-5153
Mailing address
1107 14TH AVENUE SE, SUITE G100, DECATUR, AL 35601
(256) 340-5150
(256) 340-5153
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
16163
AL
207Q00000X
Family Medicine Physician
Primary
MD41025
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009938191
—
AL
01
—
891-09587
BCBS OF ALABAMA
AL
Enumeration date
08/30/2006
Last updated
11/12/2015
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