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Organization

MARGARET K SPARKS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARGARET K SPARKS M.D. (OWNER/SOLE PRACTIONER)
(866) 200-9874
Entity
Organization

Contact information

Practice address
10302 BROOKRIDGE VILLAGE BLVD, SUITE 102, LOUISVILLE, KY 40291-4475
(866) 200-9874
(502) 966-9175
Mailing address
PO BOX 19027, LOUISVILLE, KY 40259-0027
(866) 200-9874
(502) 966-9175

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
23102
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6018
KY MEDICARE GROUP NUMBER
KY
01
DD5649
KY RAILROAD MEDICARE GRP
KY
Enumeration date
11/28/2007
Last updated
03/27/2013
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