Individual
MRS. KATE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3007 TOWN CENTER DR, FAYETTEVILLE, NC 28306-3662
(910) 354-1281
(910) 779-2025
Mailing address
2700 WESTCHESTER AVE, PURCHASE, NY 10577-2547
(914) 607-5730
(914) 457-1195
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13202
NC
363A00000X
Physician Assistant
010246
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
09/25/2006
Last updated
02/03/2025
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