Provider Demographics
NPI:1497537336
Name:SPENCE, SUSAN HART (PA)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:HART
Last Name:SPENCE
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:3530 CREEKWOOD DR APT 12
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-6512
Mailing Address - Country:US
Mailing Address - Phone:301-253-2977
Mailing Address - Fax:
Practice Address - Street 1:160 N EAGLE CREEK DR STE 205
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-2125
Practice Address - Country:US
Practice Address - Phone:859-277-3135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2024-02-05
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant