Provider Demographics
NPI:1821058785
Name:SPURLIN, GERALDINE W (MD)
Entity Type:Individual
Prefix:
First Name:GERALDINE
Middle Name:W
Last Name:SPURLIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:789 EASTERN BYPASS
Mailing Address - Street 2:SUITE 21
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475
Mailing Address - Country:US
Mailing Address - Phone:859-623-1404
Mailing Address - Fax:859-623-1405
Practice Address - Street 1:789 EASTERN BYPASS
Practice Address - Street 2:SUITE 21
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475
Practice Address - Country:US
Practice Address - Phone:859-623-1404
Practice Address - Fax:859-623-1405
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY15194207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C71889Medicare UPIN