KELLIE RICHELLE SPARKS

GRAYSON, KY
NPI1083062988
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3010258)
Enumeration Date2016-06-01
Last Update Date2022-04-14
Business Address
KELLIE RICHELLE SPARKS APRN
645 INTERSTATE DR
GRAYSON, KY 41143-1704
Phone number: 606-474-0669
Mailing Address
KELLIE RICHELLE SPARKS APRN
PO BOX 550
VANCEBURG, KY 41179-0550
Phone number: 606-796-3029
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