Provider Demographics
NPI:1639805393
Name:SPERO HEALTH OF KENTUCKY, LLC
Entity Type:Organization
Organization Name:SPERO HEALTH OF KENTUCKY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:DULANY
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-265-0371
Mailing Address - Street 1:155 FRANKLIN RD STE 430
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-1602
Mailing Address - Country:US
Mailing Address - Phone:615-265-0371
Mailing Address - Fax:615-844-9033
Practice Address - Street 1:235 STOKELY RD
Practice Address - Street 2:
Practice Address - City:CYNTHIANA
Practice Address - State:KY
Practice Address - Zip Code:41031-2104
Practice Address - Country:US
Practice Address - Phone:859-954-5150
Practice Address - Fax:859-954-5160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory