Spencer, Kenneth Lloyd

Spencer, Kenneth Lloyd is an individual health care provider with primary practice located at 815 Pecan Grove Rd E , Sherman TX 75090-1768. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Spencer, Kenneth Lloyd can be contacted via phone (903) 892-2126.

Contact Information

Primary practice address
815 Pecan Grove Rd E Sherman TX 75090-1768
Phone: (903) 892-2126
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1356869549
LBN Legal business name Spencer, Kenneth Lloyd
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2017
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356869549 NPPES
Missouri MEDICAID 220047598

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