Kellie Richelle Sparks (NPI# 1083062988, PAC ID# 7618269333) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1083062988 |
| PAC ID by PECOS | 7618269333 |
| Professional Enrollment ID | I20160715001291 |
| Full Name | Kellie Richelle Sparks |
| Organization Legal Name | ASHLAND HOSPITAL CORPORATION |
| Address |
613 23rd St Suite G20 Ashland KY 41101-2884 |
| Phone Number | 6064084000 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7719882521 |
| Number of Group Practice Members | 91 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180009 | KING'S DAUGHTERS' MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 613 23rd St, Suite G20, Ashland, KY 41101-2884 | 6064084000 | ASHLAND HOSPITAL CORPORATION |
| 407 Ferry St, Russell, KY 41169-1342 | 6068365616 | ASHLAND HOSPITAL CORPORATION |
| Organization Legal Name | ASHLAND HOSPITAL CORPORATION |
| Physicians | 82 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Thomas Faulkner | Nurse Practitioner | Ashland Hospital Corporation | 4004 Louisa Rd, Catlettsburg, KY 41129-1091 |
| Carolyn Marie Spangler | Nurse Practitioner | Ashland Hospital Corporation | 2421 Winchester Ave, Ashland, KY 41101-7835 |
| Brittany G Bond | Nurse Practitioner | Ashland Hospital Corporation | 609 N Carol Malone Blvd, Grayson, KY 41143-1123 |
| Katherine Leann Tackett | Family Medicine | Ashland Hospital Corporation | 391 W Tom T Hall Blvd, Olive Hill, KY 41164-7688 |
| Tara Nicole James | Physician Assistant | Ashland Hospital Corporation | 10650 Us Route 60, Ashland, KY 41102-9611 |
| William Shayne Bennett | Nurse Practitioner | Ashland Hospital Corporation | 1107 Bellefonte Rd, Flatwoods, KY 41139-2503 |
| Angela Michelle Nelson | Nurse Practitioner | Ashland Hospital Corporation | 105 St Hwy 1947a, Grayson, KY 41143 |
| Cherri Lynn Sewell | Nurse Practitioner | Ashland Hospital Corporation | 384 County Rd 120 So, South Point, OH 45680-7807 |
| Clayton Victor Bowman | Family Practice | Ashland Hospital Corporation | 825 E Tom T Hall Blvd, Olive Hill, KY 41164-6768 |
| Matthew Allan Hensley | Nurse Practitioner | Ashland Hospital Corporation | 2245 Winchester Ave, Ashland, KY 41101-7848 |
| Street Address |
613 23RD ST SUITE G20 |
| City | ASHLAND |
| State | KY |
| Zip | 41101-2884 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryann A Pangan | Nephrology | Kings Daughters Medical Specialties Inc | 613 23rd St, Suite 130, Ashland, KY 41101-2876 |
| Susan Aliff | Nurse Practitioner | Kings Daughters Medical Specialties Inc | 613 23rd St, Suite 140, Ashland, KY 41101-2876 |
| Juan Guillermo Bastidas | Thoracic Surgery | Kings Daughters Medical Specialties Inc | 613 23rd St, Suite 210, Ashland, KY 41101-2868 |
| Peter Anthony Andolina | Plastic and Reconstructive Surgery | Kings Daughters Medical Specialties Inc | 613 23rd St, Suite 420, Ashland, KY 41101-2885 |
| David Gauze | Nurse Practitioner | Kings Daughters Medical Specialties Inc | 613 23rd St, Suite 130, Ashland, KY 41101-2876 |
| Tiffany Leeann Curnutte | Nurse Practitioner | Kings Daughters Medical Specialties Inc | 613 23rd St, Suite G30, Ashland, KY 41101-2881 |
| Roger J Klein | Cardiovascular Disease (cardiology) | Kings Daughters Medical Specialties Inc | 613 23rd St, Suite 230, Ashland, KY 41101-2868 |
| Arash Seratnahaei | Cardiovascular Disease (cardiology) | Kings Daughters Medical Specialties Inc | 613 23rd St, Suite 230, Ashland, KY 41101-2868 |
| Roderick J Tompkins Jr. | General Surgery | Kings Daughters Medical Specialties Inc | 613 23rd St, Suite 420, Ashland, KY 41101-2885 |
| Steven Travis Carawan | Orthopedic Surgery | Kings Daughters Medical Specialties Inc | 613 23rd St, Suite G30, Ashland, KY 41101-2881 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy K Dixon | Urology | Kings Daughters Medical Specialties Inc | 336 29th St, Suite 100, Ashland, KY 41101-1900 |
| William H Boykin Jr. | Urology | Kings Daughters Medical Specialties Inc | 336 29th St, Suite 100, Ashland, KY 41101-1900 |
| Sarah Shannon | Nurse Practitioner | Fresh Start Health Psc | 336 29th St, Suite 203, Ashland, KY 41101-1932 |
| Jerrel Boyer | Neurosurgery | Fresh Start Health Psc | 336 29th St, Suite 203, Ashland, KY 41101-1932 |
| Freda Fields | Nurse Practitioner | Fresh Start Health Psc | 336 29th St, Suite 203, Ashland, KY 41101-1932 |
| Jolinda Dillow | Dermatology | 336 29th St, Suite 201, Ashland, KY 41101-1932 | |
| Patricia A Marshall | Nurse Practitioner | Bellefonte Physician Services Inc | 2930 Carter Ave, Ashland, KY 41101-1943 |
| Marcos Estrada Gomez | Rheumatology | Bellefonte Physician Services Inc | 2930 Carter Ave, Ashland, KY 41101-1943 |
| Julie Ann Estep | Nurse Practitioner | Bellefonte Physician Services Inc | 2930 Carter Ave, Ashland, KY 41101-1943 |
| Leslie L Calico | Physical Therapy | Ironton Physcial Therapy Inc | 2700 Greenup Ave, Ashland, KY 41101-1953 |
| Find all physicians in zip 41101 | |||
| City | ASHLAND |
| Zip Code | 41101 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ASHLAND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kellie Richelle Sparks.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.