Spencer, Audrey

Spencer, Audrey is an sole proprietor health care provider with primary practice located at 910 Kenton Station Rd Suite D, Maysville KY 41056-9658. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Spencer, Audrey can be contacted via phone (606) 759-0706.

Contact Information

Primary practice address
910 Kenton Station Rd Suite D Maysville KY 41056-9658
Phone: (606) 759-0706
Fax: (606) 759-8117
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23155 Kentucky

Profile Details

NPI number 1548291230
LBN Legal business name Spencer, Audrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2006
Last updated Jul 18th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548291230 NPPES
Kentucky Other 19I8 ANTHEM BC/BS KY
Kentucky MEDICAID 64231558 ANTHEM BC/BS KY
Kentucky Other 6A11 ANTHEM BC/BS KY

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