Individual
MR. LEE BRADFORD SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
480 HOPKINSVILLE ST, GREENVILLE, KY 42345-1124
(270) 338-5777
(270) 338-5765
Mailing address
480 HOPKINSVILLE ST, GREENVILLE, KY 42345-1124
(270) 338-5777
(270) 338-5765
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35030
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64038474
—
KY
Enumeration date
08/02/2005
Last updated
12/20/2019
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