Individual
DR. RODNEY LEE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
657 LONE OAK RD, #6, PADUCAH, KY 42003-4547
(270) 442-4054
(270) 442-4055
Mailing address
657 LONE OAK RD, #6, PADUCAH, KY 42003-4547
(270) 442-4054
(270) 442-4055
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4506
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000197545
BLUE CROSS UPIN
KY
01
—
350051599
PALMETTO GBA #
KY
05
—
7100155010
—
KY
01
—
TT84
BLUE CROSS BLUE SHIELD #
KY
Enumeration date
01/15/2007
Last updated
03/03/2016
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