Individual
AUSTIN CHANDLER SPARKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
30 STACY LANE RD, IRVINE, KY 40336-7356
(606) 723-0665
Mailing address
808 MELANIE LN, RICHMOND, KY 40475-2784
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
08/30/2021
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