NPI 1063732246

Michael Sparks

Practitioner Other Technician Mayking, KY

Practice location

Address: 3367 Hwy 119, Mayking, KY 41837
Phone: (606) 633-4439
Fax: (606) 633-9964
Mailing address: 115 Rockwood Ln, Hazard, KY 41701-9415

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Kentucky →

Registry record

NPI: 1063732246
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jun 2010
Record last updated: 10 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.