MEDICARE: ALLY CATHRYN SPENCER APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	4051798	KY

General Provider Information

NPI Number	:	1518825124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLY CATHRYN SPENCER APRN

Provider Business Mailing Address
First Line	:	3200 TODDS RD APT 810
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-8419
Country	:	US
Telephone Number	:	606-272-7718
Fax Number	:

Provider Business Practice Location Address
First Line	:	3101 RICHMOND RD
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-1599
Country	:	US
Telephone Number	:	859-268-9866
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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Directions to “ ALLY CATHRYN SPENCER APRN” Practice Location

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