Mr. Kelly L. Sparks, PA
Mr. Kelly L. Sparks, PA is a Surgical Physician Assistant in Danville, Virginia. Licensed in Illinois, Indiana and Virginia. Registered with an NPI since 2006.
- Licensed in
- IL, IN, VA
- In the registry since
- 2006
- Specialties on file
- 4
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
109 Bridge St Ste 300Danville, VA 24541-1222
Phone: (434) 793-4711
Fax: (434) 797-2514
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X (VA) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 0110007007 (VA) |
| Physician Assistant | Taxonomy 363A00000X · Licence 10000928A (IN) |
| Physician Assistant | Taxonomy 363A00000X · Licence 85080096 (IL) |
Record details
| NPI number | 1649245309 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | February 17, 2006 |
| Last updated in NPPES | August 6, 2020 |
| Certification date | August 6, 2020 |