Individual
DR. AUDREY SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
910 KENTON STATION RD, SUITE D, MAYSVILLE, KY 41056-9658
(606) 759-0706
(606) 759-8117
Mailing address
910 KENTON STATION DRIVE, SUITE D, MAYSVILLE, KY 41056
(606) 759-0706
(606) 393-0185
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23155
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19I8
ANTHEM BC/BS KY
KY
05
—
64231558
—
KY
01
—
6A11
ANTHEM BC/BS OH
OH
Enumeration date
07/05/2006
Last updated
07/18/2024
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