Healthcare Provider Details

I. General information

NPI: 1952205312
Provider Name (Legal Business Name): LOREN MACKENZIE SPALDING RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3681 RABBITS FOOT TRL APT 3
LEXINGTON KY
40503-3732
US

IV. Provider business mailing address

3681 RABBITS FOOT TRL APT 3
LEXINGTON KY
40503-3732
US

V. Phone/Fax

Practice location:
  • Phone: 859-559-9442
  • Fax:
Mailing address:
  • Phone: 859-559-9442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number1176061
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: