Individual
DR. NICOLE SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
20375 W 151ST ST STE 463, OLATHE, KS 66061-7210
(913) 355-8577
(913) 782-2616
Mailing address
20375 W 151ST ST STE 463, OLATHE, KS 66061-7210
(913) 355-8577
(913) 782-2616
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0537938
KS
208600000X
Surgery Physician
2015007988
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0537938
LICENSE
KS
01
—
2015007988
LICENSE
MO
Enumeration date
04/26/2011
Last updated
10/21/2024
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