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KELLY SPARKS, PA

PA

Surgical Physician Assistant

NPI: 1649245309Individual

Specialties, Licenses & Credentials

Surgical Physician AssistantPrimary

Physician Assistant — Surgical

Code: 363AS0400X

Medical Physician Assistant

Physician Assistant — Medical

Code: 363AM0700X

0110007007(VA)
Physician Assistant

Physician Assistant

Code: 363A00000X

10000928A(IN)85080096(IL)
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Contact & Hours

Address
109 BRIDGE ST STE 300
DANVILLE, VA 24541

Quick Facts

NPI
1649245309
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
4
Locations
1

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