Individual
CASSIDI RAE SPURLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1350 BULL LEA RD, LEXINGTON, KY 40511-1247
(859) 246-8000
(859) 246-8032
Mailing address
6600 FLEMINGSBURG RD, MOREHEAD, KY 40351-9144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3581
KY
363AM0700X
Medical Physician Assistant
PA3581
KY
363AS0400X
Surgical Physician Assistant
PA3581
KY
Other
Enumeration date
04/26/2024
Last updated
03/21/2025
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