Individual
MR. JEREMY SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
KCSA
Contact information
Practice address
420 STILESVILLE RD, SCIENCE HILL, KY 42553-7410
(606) 219-0900
(606) 451-0177
Mailing address
420 STILESVILLE RD, SCIENCE HILL, KY 42553-7410
(606) 219-0900
(606) 451-0177
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA093
KY
Other
Enumeration date
01/12/2007
Last updated
01/19/2009
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