Individual
HERBERT SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
KPSS
Contact information
Practice address
2639 KY 1555, OLIVE HILL, KY 41164-5455
(859) 962-7892
Mailing address
2639 KY 1555, OLIVE HILL, KY 41164-5455
(859) 962-7892
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
KY
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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