Provider Demographics
NPI:1326119066
Name:SPROLE, AMY M (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:M
Last Name:SPROLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1861 N. WEBB RD
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-3413
Mailing Address - Country:US
Mailing Address - Phone:316-688-7500
Mailing Address - Fax:316-688-7543
Practice Address - Street 1:1861 N. WEBB RD
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-3413
Practice Address - Country:US
Practice Address - Phone:316-688-7500
Practice Address - Fax:316-688-7543
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2011-10-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS03085-07208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery