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Individual

KYLIE SPARKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3026 HWY 252, FOLKSTON, GA 31537-2673
(202) 281-8059
Mailing address
142 LAUREL MARSH WAY, KINGSLAND, GA 31548-6193
(606) 875-6040

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1147215
KY
363LF0000X
Family Nurse Practitioner
Primary
3016306
KY

Other

Enumeration date
09/01/2021
Last updated
02/19/2025
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