Individual
DONNIE R SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1032 DAWAHARE DR, HAZARD, KY 41701-8937
(606) 439-3311
(606) 436-5155
Mailing address
870 CORPORATE DR, SUITE 400, LEXINGTON, KY 40503-5416
(859) 277-9436
(859) 977-0092
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18056
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
406012621
RAIL ROAD MEDICARE
KY
05
—
64180565
—
KY
Enumeration date
10/05/2006
Last updated
03/08/2010
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