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Mr. Kelly L. Sparks, PA
Physician Assistant in Danville, Virginia
NPI 1649245309

Kelly L. Sparks is a Physician Assistant based in Danville, VA. Kelly L. Sparks practices in Danville, VA and has the professional credentials of PA. The NPI Number for Kelly L. Sparks is 1649245309 and holds a License No. (Virginia).

The current practice location address for Kelly L. Sparks is 109 Bridge St Ste 300, Danville, VA and can be reached out via phone at 434-793-4711 and via fax at 434-797-2514. You can also correspond with Kelly L. Sparks through the mailing address at 109 BRIDGE ST STE 300, DANVILLE, VA - 24541-1222 (mailing address contact number: 434-793-4711).

Location: 109 Bridge St Ste 300, Danville, VA, 24541-1222
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649245309
Provider Name
Kelly L. Sparks
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
109 Bridge St Ste 300, Danville, VA, 24541-1222
Phone Number
434-793-4711
Fax Number
434-797-2514
Provider Enumeration Date
02/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
VVX692A 01 VA MEDICARE
0110007007 01 VA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
109 Bridge St Ste 300
City
Danville
State
Virginia
Zip
24541-1222
Phone Number
434-793-4711
Fax Number
434-797-2514
person
Provider Business Mailing Address Details
Address
109 Bridge St Ste 300
City
Danville
State
Virginia
Zip
24541-1222
Phone Number
434-793-4711
Fax Number
434-797-2514
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
10000928A (Indiana)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
0110007007 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
(Virginia)
Definition
Definition to come...
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