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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